A Randomized, Double -Blind (Sponsor-Open), Placebo-Controlled Study to Assess the Effect of NT-0796 on Inflammation in Obese Participants at Risk of Cardiovascular Disease

This trial is a Randomized, Double-Blind (Sponsor-Open), Placebo-Controlled Study to Assess the Effect of NT-0796 on Inflammation in Obese Participants at Risk of Cardiovascular Disease.
Participants will be admitted to an in-patient Clinical Research Unit on Day -1 and will be discharged on Day 30. The trial will include a 7-day out-patient safety follow-up period following the last dose of study treatment.
For the first approximately 20 participants effect of food will be evaluated on the Pharmacokinetics of NT-0796. MRI's will be conducted in a subset of participants.

开始日期2023-10-10

申办/合作机构

NodThera Ltd.初创企业

ACTRN12621001082897 / Completed临床1期

A randomised, placebo-controlled single and multiple ascending dose study to test the safety, tolerability, pharmacokinetics and pharmacodynamics of NT-0796 in healthy volunteers

开始日期2021-08-29

申办/合作机构

NodThera Ltd.初创企业

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100 项与 NT-0796 相关的临床结果

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100 项与 NT-0796 相关的转化医学

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100 项与 NT-0796 相关的专利（医药）

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项与 NT-0796 相关的文献（医药）

2023-11-09·Journal of medicinal chemistry1区 · 医学

Discovery of Clinical Candidate NT-0796, a Brain-Penetrant and Highly Potent NLRP3 Inflammasome Inhibitor for Neuroinflammatory Disorders

1区 · 医学

Article

作者: Harrison, David ; Bock, Mark G ; Holloway, M Katharine ; Watt, Alan P ; Doedens, John R ; Gabel, Christopher A ; Scanlon, Jane ; Billinton, Andy ; Porter, Roderick A ; Reader, Valérie ; Schooley, Kenneth

The NLRP3 inflammasome is a component of the innate immune system involved in the production of proinflammatory cytokines. Neurodegenerative disorders, including Alzheimer's disease, Parkinson's disease, multiple sclerosis, and amyotrophic lateral sclerosis, have been shown to have a component driven by NLRP3 inflammasome activation. Diseases such as these with large unmet medical needs have resulted in an interest in inhibiting the NLRP3 inflammasome as a potential pharmacological treatment, but to date, no marketed drugs specifically targeting NLRP3 have been approved. Furthermore, the requirement for CNS-penetrant molecules adds additional complexity to the search for NLRP3 inflammasome inhibitors suitable for clinical investigation of neuroinflammatory disorders. We designed a series of ester-substituted carbamate compounds as selective NLRP3 inflammasome inhibitors, leading to NT-0796, an isopropyl ester that undergoes intracellular conversion to NDT-19795, the carboxylic acid active species. NT-0796 was shown to be a potent and selective NLRP3 inflammasome inhibitor with demonstrated in vivo brain penetration.

2024-03-01·The Journal of pharmacology and experimental therapeutics

Target Cell Activation of a Structurally Novel NOD-Like Receptor Pyrin Domain-Containing Protein 3 Inhibitor NT-0796 Enhances Potency

Article

作者: Diamond, Christine ; Smolak, Pamela ; Snouwaert, John N ; Doedens, John R ; Watt, Alan P ; Nguyen, MyTrang ; Koller, Beverly H ; Wescott, Heather ; Harrison, David ; Schooley, Kenneth ; Bock, Mark G ; Gabel, Christopher A

The NOD-like receptor pyrin domain-containing protein 3 (NLRP3) inflammasome is a central regulator of innate immunity, essential for processing and release of interleukin-1β and pyroptotic cell death. As endogenous NLRP3 activating triggers are hallmarks of many human chronic inflammatory diseases, inhibition of NLRP3 has emerged as a therapeutic target. Here we identify NDT-19795 as a novel carboxylic acid-containing NLRP3 activation inhibitor in both human and mouse monocytes and macrophages. Remarkably, conversion of the carboxylate to an isopropyl-ester (NT-0796) greatly enhances NLRP3 inhibitory potency in human monocytes. This increase is attributed to the ester-containing pharmacophore being more cell-penetrant than the acid species and, once internalized, the ester being metabolized to NDT-19795 by carboxylesterase-1 (CES-1). Mouse macrophages do not express CES-1, and NT-0796 is ineffective in these cells. Mice also contain plasma esterase (Ces1c) activity which is absent in humans. To create a more human-like model, we generated a mouse line in which the genome was modified, removing Ces1c and replacing this segment of DNA with the human CES-1 gene driven by a mononuclear phagocyte-specific promoter. We show human CES-1 presence in monocytes/macrophages increases the ability of NT-0796 to inhibit NLRP3 activation both in vitro and in vivo. As NLRP3 is widely expressed by monocytes/macrophages, the co-existence of CES-1 in these same cells affords a unique opportunity to direct ester-containing NLRP3 inhibitors precisely to target cells of interest. Profiling NT-0796 in mice humanized with respect to CES-1 biology enables critical modeling of the pharmacokinetics and pharmacodynamics of this novel therapeutic candidate. SIGNIFICANCE STATEMENT: Inhibition of NLRP3 represents a desirable therapeutic strategy for the treatment of multiple human disorders. In this study pharmacological properties of a structurally-novel, ester-containing NLRP3 inhibitor NT-0796 are characterized. To study pharmacodynamics of NT-0796 in vivo, a mouse line was engineered possessing more human-like traits with respect to carboxylesterase biology. In the context of these hCES-1 mice, NT-0796 serves as a more effective inhibitor of NLRP3 activation than the corresponding acid, highlighting the full translational potential of the ester strategy.

项与 NT-0796 相关的新闻（医药）

2024-06-16

·药明康德

显著延长肝癌患者生存期的细胞疗法；可同时减重并降低心血管风险的小分子疗法…… | 一周盘点

▎药明康德内容团队编辑本期看点 1. 既能减重又能降低心血管风险的小分子疗法NT-0796在早期临床试验中表现积极。 2. T细胞受体（TCR）T细胞疗法SCG101在晚期乙型肝炎病毒（HBV）相关肝细胞癌（HCC）患者中展现出抗病毒和抗肿瘤双重活性，显著延长患者的生存期。 3. 白血病患者在接受造血干细胞移植后接受一剂INB-100治疗，100%可评估的患者于今年5月31日时仍然存活，并且维持完全缓解（CR）达到1年。药明康德内容团队整理 NT-0796：公布1b/2a期临床试验数据 NodThera宣布其在炎症性肥胖受试者中进行的临床1b/2a期心血管风险研究取得了积极数据，该研究旨在评估其在研口服、可穿透血脑屏障的NLRP3炎性小体抑制剂NT-0796，对患者的炎症、心血管和代谢风险参数的影响。NLRP3炎症小体是一种经过高度验证的抗炎药物靶点。分析显示，NT-0796可有效减少患者体内C反应蛋白（CRP）水平，并使患者的体重显著减少。此外，接受NT-0796治疗患者的其他促炎和心脏代谢生物标志物也有所减少，这是该研究的次要终点。与以往的试验一致，NT-0796总体上安全且耐受性良好，不良事件主要是轻度和短暂的，未观察到严重不良事件。NodThera目前正在为针对肥胖症，以及包括其他心脏代谢疾病和帕金森病在内的临床2期研究做准备。 SCG101：公布首次人体临床试验结果星汉德生物（SCG Cell Therapy）宣布，其自主研发的HBV特异性TCR-T细胞疗法SCG101入选了2024年度欧洲肝脏研究协会年会（EASL Congress 2024）的焦点精选报告。SCG101是一种针对乙型肝炎病毒表面抗原（HBsAg）的特异性自体TCR-T细胞疗法。星汉德生物依托自主研发的独有GianT技术平台，筛选高亲力且高活性的天然TCR，可以有效靶向实体肿瘤中通过主要组织相容性复合体（MHC）表达的细胞内抗原。临床前和临床研究数据显示，SCG101具有肿瘤抑制和HBV cccDNA根除作用，可实现抗肿瘤和抗病毒功能。此次公布的研究结果显示，SCG101在晚期HBV相关HCC患者中展现出抗病毒和抗肿瘤双重活性，显著延长了患者的生存期。至稿件截止日，客观缓解率（ORR）为33%，获得部分缓解（PR）的患者均维持缓解超过6个月，其中1例实现了靶病灶完全缓解（pCR），且持续缓解超过27个月。此外，患者的肿瘤应答与SCG101的抗病毒活性高度相关。4例血清HBsAg显著下降并维持在低水平的患者的肿瘤缩小，且无进展生存期和总生存期显著延长至5.9个月和19.0个月。 INB-100 IN8bio：公布1期临床试验的新数据 IN8bio公司公布了其在研现货型γδ T细胞疗法INB-100的最新1期临床试验结果。INB-100是一款来自健康供体的同种异体γδ T细胞，在体外经过扩增和激活后，被输注到白血病患者体内。在这项研究者发起的1期临床试验中，白血病患者在接受造血干细胞移植后，接受一剂INB-100的治疗。这些患者包括高风险和复发急性髓系白血病（AML）患者，他们此前已接受过多种疗法治疗，包括嵌合抗原受体（CAR）T细胞疗法。截至2024年5月31日的数据，100%可评估的白血病患者仍然存活并且维持CR达到1年。此前发表的历史数据显示，高达50%的血液癌症患者在接受造血干细胞移植和减轻强度预处理（reduced intensity conditioning）的情况下会出现复发，并且在复发后不久去世。在这10名患者中，两名接受INB-100治疗的患者已经无癌三年半，另一名患者接近3年无癌。数据同时显示，接受单次治疗后的365天里，同种异体γδ T细胞能够长期持久地在体内扩增。新闻稿指出，这是首次同种异体细胞疗法表现出持续的扩增和持久性。安全性方面，INB-100没有出现剂量限制性毒性，未发现细胞因子释放综合征（CRS），神经毒性或免疫效应细胞相关神经毒性综合征（ICANS），未发现严重感染。 Delpacibart braxlosiran （AOC 1020）：公布1/2期临床试验的初步数据 Avidity Biosciences宣布其用于治疗面肩肱型肌营养不良症（FSHD）的在研抗体寡核苷酸偶联物（AOC）delpacibart braxlosiran（del-brax，AOC 1020）在临床1/2期试验FORTITUDE中的初步积极数据。FSHD是由于DUX4基因异常表达所引起。DUX4蛋白的异常表达导致肌肉细胞基因表达的变化，造成FSHD患者肌肉功能的终身、渐进性丧失。根据新闻稿，del-brax是首个旨在治疗FSHD根本原因的在研AOC疗法，由一种专有的转铁蛋白受体1（TfR1）靶向单克隆抗体，与靶向DUX4 mRNA的siRNA偶联所组成。 ▲Del-brax下调患者受DUX4调控的基因表达（图片来源：参考资料[2]）此次公布的结果显示，FSHD患者接受该疗法后，其受DUX4调控的基因一致性地下调超过50%，并且患者的肌肉功能有改善的趋势。根据此积极结果，Avidity计划加速FORTITUDE研究中注册队列的启动。 Bexicaserin（LP352）：公布1b/2a期临床试验的新数据 Longboard Pharmaceuticals公司公布了PACIFIC研究的开放标签扩展（OLE）研究的积极数据。PACIFIC研究旨在评估其在研疗法bexicaserin（LP352）用于治疗与广泛发育性和癫痫性脑病相关癫痫发作的疗效与安全性。Bexicaserin是一款高选择性、口服、新型5-HT2C受体超激动剂，为潜在的“best-in-class”疗法。所有41例完成PACIFIC研究的患者均选择参加OLE研究。结果显示，在OLE研究中接受bexicaserin治疗约6个月的可评估受试者（n=40）的中位可数运动性癫痫发作频率较进入PACIFIC研究时的基线水平降低56.1%。其中，在PACIFIC研究中被随机分配到接受bexicaserin治疗组的受试者（n=31）减少了54.9%，在PACIFIC研究中被随机分配到安慰剂组的受试者在OLE研究中过渡到bexicaserin治疗，这类患者（n=9）减少了57.3%。安全性方面，观察到的最常见的治疗伴发不良事件为上呼吸道感染、COVID-19、肺炎、鼻窦炎、癫痫发作和食欲下降。一名受试者因嗜睡而停药，一名受试者因撤回同意而停药。 JIN-A02：公布1/2期临床试验的新数据 J INTS BIO公司公布了其进行中的用于治疗非小细胞肺癌（NSCLC）的新型第4代口服EGFR酪氨酸激酶抑制剂（TKI）JIN-A02的1期临床研究的最新情况。JIN-A02具有高度的选择性，可有效对抗携带EGFR C797S双突变或三突变的NSCLC，并具有高脑渗透率和体内疗效。截至目前，已有两名患者达到了确认的PR，还有3名患者达到了疾病稳定（SD）。此外，研究人员还在1例达到SD的患者中观察到脑转移灶缩小28.6%。安全性方面，未报告剂量限制性毒性，也没有发现皮疹、腹泻或心脏毒性这类通常与EGFR TKI的使用相关的副作用。 PCS6422：公布1b期临床试验的初步数据 Processa Pharmaceuticals公司公布了其下一代卡培他滨组合疗法（NGC-Cap）治疗III/IV期胃肠道癌症患者的1b期临床试验的初步结果。口服卡培他滨在体内代谢后会变成5-氟尿嘧啶（5-FU），进而代谢成两种分子，一种能主动杀死癌细胞，一种只会产生副作用。二氢嘧啶脱氢酶（DPD）在5-FU转化为引起副作用的分子方面起着重要作用。PCS6422能够不可逆地抑制DPD。在相当剂量水平下，PCS6422单药在动物中既没有毒性也不具有活性。而当与卡培他滨或5-FU联合给药时，PCS6422降低了5-FU向仅引起副作用的分子的代谢，从而使更多的5-FU到达癌细胞。Processa Pharmaceuticals公司将PCS6422与低剂量的卡培他滨结合使用，组成了NGC-Cap。此次公布的结果显示，在所有接受一剂PCS6422后再接受7天卡培他滨治疗的可评估患者中，12例可评估患者的疾病控制率为66.7%（8/12），包括2例PR和6例SD。这些患者的无进展生存期约为5-11个月。相比之下，在卡培他滨产品说明书中，301例接受卡培他滨单药治疗的转移性结直肠癌患者的总缓解率约为21%，患者发生进展的时间约为4.5个月。安全性方面，与卡培他滨单药治疗相比，在所有NGC-Cap剂量组中，5-FU的暴露量更高，副作用的发生情况相似或更少。 ▲欲了解更多前沿技术在生物医药产业中的应用，请长按扫描上方二维码，即可访问“药明直播间”，观看相关话题的直播讨论与精彩回放参考资料（可上下滑动查看） [1] NodThera’s NLRP3 Inhibitor NT-0796 Meets Primary Endpoint of Inflammation Reversal in Phase Ib/IIa Trial in Obese Subjects with Cardiovascular Risk. Retrieved June 14, 2024 from https://www.nodthera.com/news/nodtheras-nlrp3-inhibitor-nt-0796-meets-primary-endpoint-of-inflammation-reversal-in-phase-ib-iia-trial-in-obese-subjects-with-cardiovascular-risk/ [2] 重磅｜EASL 最新突破性数据：星汉德生物TCR-T细胞治疗晚期肝癌患者总生存期显著延长并伴随乙肝表面抗原清除，获选最佳精选报告. Retrieved June 14, 2024 from https://www.prnasia.com/story/450060-1.shtml [3] Avidity Announces Unprecedented AOC 1020 Data from Phase 1/2 FORTITUDE™ Trial Demonstrating Greater Than 50 Percent Reduction in DUX4 Regulated Genes and Trends of Functional Improvement in People Living with Facioscapulohumeral Muscular Dystrophy. Retrieved June 14, 2024 from https://www.prnewswire.com/news-releases/avidity-announces-unprecedented-aoc-1020-data-from-phase-12-fortitude-trial-demonstrating-greater-than-50-percent-reduction-in-dux4-regulated-genes-and-trends-of-functional-improvement-in-people-living-with-facioscapulohumeral-m-302170099.html [4] Avidity Biosciences Investor & Analyst Event Series – Vol. 9: Preliminary Data from Phase 1/2 FORTITUDE™ trial of AOC 1020 in people living with FSHD. Retrieved June 14, 2024 from https://aviditybiosciences.investorroom.com/events-and-presentations#:~:text=Avidity%20Biosciences%20Investor%20%26%20Analyst%20Event%20Series%20%E2%80%93%20Vol.%209%3A%20Preliminary%20Data%20from%20Phase%201/2%20FORTITUDE%E2%84%A2%20trial%20of%20AOC%201020%20in%20people%20living%20with%20FSHD [5] IN8bio Presents Positive Data Demonstrating Durable 1-year Complete Remission in 100% of Evaluable Patients in Phase 1 Trial of INB-100. Retrieved June 14, 2024, from https://www.globenewswire.com/news-release/2024/06/13/2898625/0/en/IN8bio-Presents-Positive-Data-Demonstrating-Durable-1-year-Complete-Remission-in-100-of-Evaluable-Patients-in-Phase-1-Trial-of-INB-100.html [6] Longboard Pharmaceuticals Announces Positive Interim Results from the Open-Label Extension (OLE) of the Phase 1b/2a PACIFIC Study Evaluating Bexicaserin in Participants with Developmental and Epileptic Encephalopathies (DEEs). Retrieved June 14, 2024, from [7] Processa Pharmaceuticals Announces Positive Efficacy Results from Preliminary Evaluation of Phase 1b Dose-escalating Trial with NGC-Cap in Gastrointestinal Cancer. Retrieved June 14, 2024, from https://www.globenewswire.com/news-release/2024/06/11/2896777/0/en/Processa-Pharmaceuticals-Announces-Positive-Efficacy-Results-from-Preliminary-Evaluation-of-Phase-1b-Dose-escalating-Trial-with-NGC-Cap-in-Gastrointestinal-Cancer.html [8] J INTS BIO, ASCO 2024 - JIN-A02 showed tumor reductions including brain metastasis in the ongoing first-in-human, dose-finding Phase 1 clinical study. Retrieved June 14, 2024, from https://www.prnewswire.com/news-releases/j-ints-bio-asco-2024--jin-a02-showed-tumor-reductions-including-brain-metastasis-in-the-ongoing-first-in-human-dose-finding-phase-1-clinical-study-302168022.html [9] Surrozen Presents Preliminary Results from Phase 1a Study of SZN-043 in Healthy Volunteers and Patients with a History of Liver Cirrhosis at the 2024 European Association for the Study of the Liver (EASL) in Milan. Retrieved June 14, 2024, from https://www.globenewswire.com/news-release/2024/06/10/2896001/0/en/Surrozen-Presents-Preliminary-Results-from-Phase-1a-Study-of-SZN-043-in-Healthy-Volunteers-and-Patients-with-a-History-of-Liver-Cirrhosis-at-the-2024-European-Association-for-the-S.html [10] Eilean Therapeutics Announces FDA Clearance of Investigational New Drug (IND) Application for Lomonitinib for the Treatment of Acute Myeloid Leukemia (AML). Retrieved June 14, 2024, from https://www.prnewswire.com/news-releases/eilean-therapeutics-announces-fda-clearance-of-investigational-new-drug-ind-application-for-lomonitinib-for-the-treatment-of-acute-myeloid-leukemia-aml-302167897.html [11] Ensem Therapeutics Announces Achievement of Milestone Following Entry of Small Molecule CDK2 Inhibitor into Clinical Trials for Solid Tumors. Retrieved June 14, 2024, from https://www.businesswire.com/news/home/20240612661711/en/ [12] Zumutor Biologics Announces Dosing of First Patient with ZM008, a First-in-Class Anti LLT1 Antibody. Retrieved June 14, 2024, from https://www.prnewswire.com/news-releases/zumutor-biologics-announces-dosing-of-first-patient-with-zm008-a-first-in-class-anti-llt1-antibody-302170537.html [13] KSQ Therapeutics Announces First Patient Dosed in Clinical Development Program for KSQ-001EX, a CRISPR/Cas9 Engineered Tumor Infiltrating Lymphocyte (eTIL®) Therapy. Retrieved June 14, 2024, from https://ksqtx.com/news-events/ksq-therapeutics-announces-first-patient-dosed-in-clinical-development-program-for-ksq-001ex-a-crispr-cas9-engineered-tumor-infiltrating-lymphocyte-etil-therapy/ [14] City of Hope CAR T Cell Therapy for Advanced Prostate Cancer Demonstrates Positive Results in Phase 1 Clinical Trial. Retrieved June 14, 2024, from https://www.businesswire.com/news/home/20240612751963/en [15] Assembly Biosciences Doses First Participant in Phase 1a/b Clinical Trial of Herpes Simplex Virus Helicase-Primase Inhibitor Candidate ABI-5366. Retrieved June 14, 2024, from https://investor.assemblybio.com/news-releases/news-release-details/assembly-biosciences-doses-first-participant-phase-1ab-clinical [16] VYNE Therapeutics Announces Dosing of First Participants in Phase 1a Trial of Novel BD2-Selective BET Inhibitor VYN202. Retrieved June 14, 2024, from https://vynetherapeutics.com/press-releases/vyne-therapeutics-announces-dosing-of-first-participants-in-phase-1a-trial-of-novel-bd2-selective-bet-inhibitor-vyn202/ 免责声明：药明康德内容团队专注介绍全球生物医药健康研究进展。本文仅作信息交流之目的，文中观点不代表药明康德立场，亦不代表药明康德支持或反对文中观点。本文也不是治疗方案推荐。如需获得治疗方案指导，请前往正规医院就诊。版权说明：本文来自药明康德内容团队，欢迎个人转发至朋友圈，谢绝媒体或机构未经授权以任何形式转载至其他平台。转载授权请在「药明康德」微信公众号回复“转载”，获取转载须知。分享，点赞，在看，聚焦全球生物医药健康创新

细胞疗法临床结果临床1期

2024-06-12

·药明康德

减重又降低心血管风险！小分子疗法展现积极临床结果

▎药明康德内容团队编辑 NodThera今日宣布其在炎症性肥胖受试者中进行的临床1b/2a期心血管风险研究取得了积极数据，该研究评估其在研口服、可穿透血脑屏障的NLRP3炎性小体抑制剂NT-0796，对患者的炎症、心血管和代谢风险参数的影响。分析显示，NT-0796可有效减少患者体内C反应蛋白（CRP）水平，并造成患者体重显著减少。NodThera目前正在为针对肥胖症，以及包括其他心脏代谢疾病和帕金森病在内的临床2期研究做准备。这次所公布的研究招募了基线CRP水平升高的肥胖受试者。CRP升高是冠状动脉疾病等慢性炎症性疾病的关键标志。该研究在临床环境中进行，为期28天，受试者的每日能量摄入限制为2000千卡。分析显示，试验达到主要终点。与安慰剂组相比，NT-0796剂量组受试者的CRP水平显著且快速下降。此外，超过75%的NT-0796剂量组受试者在第28天时的CRP水平降至≤2 mg/L，而安慰剂组中这一比例不到25%，这一数值通常被认为是降低心血管风险的阈值。此外，该研究还显示，NT-0796剂量组受试者的其他促炎和心脏代谢生物标志物也有所减少，这是该研究的次要终点。心血管和代谢生物疾病相关标志物的关键减少具有高度可转化性和一致性，该研究证明同时靶向大脑和外周NLRP3的重要性。虽然由于卡路里限制，所有受试者在药物和安慰剂组中均减轻了体重，但在NT-0796剂量组的高风险亚组中，体重的显著减少更为明显，这与公司早期的临床前数据一起，支持了该分子在抗肥胖方面的潜力。与以往试验一致，NT-0796总体上安全且耐受性良好；不良事件主要为轻度和短暂性，未观察到严重不良事件。 NLRP3炎症小体是一种经过高度验证的抗炎药物靶点。NT-0796是NodThera正在进行临床开发的NLRP3抑制剂，目前已有大量的临床前和临床数据，证明其具有脑穿透性和广泛的抗炎作用。 ▲欲了解更多前沿技术在生物医药产业中的应用，请长按扫描上方二维码，即可访问“药明直播间”，观看相关话题的直播讨论与精彩回放参考资料： [1] NodThera’s NLRP3 Inhibitor NT-0796 Meets Primary Endpoint of Inflammation Reversal in Phase Ib/IIa Trial in Obese Subjects with Cardiovascular Risk. Retrieved June 12, 2024 from https://www.nodthera.com/news/nodtheras-nlrp3-inhibitor-nt-0796-meets-primary-endpoint-of-inflammation-reversal-in-phase-ib-iia-trial-in-obese-subjects-with-cardiovascular-risk/ 免责声明：药明康德内容团队专注介绍全球生物医药健康研究进展。本文仅作信息交流之目的，文中观点不代表药明康德立场，亦不代表药明康德支持或反对文中观点。本文也不是治疗方案推荐。如需获得治疗方案指导，请前往正规医院就诊。版权说明：本文来自药明康德内容团队，欢迎个人转发至朋友圈，谢绝媒体或机构未经授权以任何形式转载至其他平台。转载授权请在「药明康德」微信公众号回复“转载”，获取转载须知。分享，点赞，在看，聚焦全球生物医药健康创新

临床2期临床结果

2024-06-12

·FierceBiotech

NodThera's NLRP3 inhibitor shows further anti-inflammatory promise in phase 1b/2a obesity trial

The trial enrolled patients with obesity and elevated baseline C-reactive protein, a biomarker of chronic inflammatory diseases such as coronary artery disease. NodThera’s NLRP3 inhibitor has already proved its worth against Novo Nordisk’s blockbuster obesity drug in preclinical trials. Now, an early readout from a study in humans with obesity has again demonstrated the drug’s anti-inflammatory potential. The phase 1b/2a trial saw patients with obesity and elevated baseline C-reactive protein (CRP)—a biomarker of chronic inflammatory diseases such as coronary artery disease—receive either NT-0796 or placebo over 28 days. The data demonstrated a “highly statistically significant and rapid” reduction in CRP among patients who received NT-0796 compared to the placebo cohort, hitting the study’s primary endpoint. In addition, more than 75% of the NT-0796 cohort achieved a CRP reduction of 2mg/L or more—considered a threshold for reducing cardiovascular risk—compared to less than 25% of those on placebo, NodThera noted in a June 12 release. The biotech also pointed to reductions in other additional pro-inflammatory and cardiometabolic biomarkers, which it said built on its weight loss studies in mice as well as a phase 1b/2a study in patients with Parkinson’s disease. “While all subjects lost weight due to calorie restriction in both the active and placebo groups, the most pronounced placebo-adjusted reductions in body weight were among high-risk subgroups of NT-0796 dosed subjects, and, with the company’s earlier preclinical data, support the anti-obesity potential of the molecule,” NodThera said in the release. The company is now preparing to launch a 26-week phase 2 study in obesity alongside other mid-stage studies ranging from additional cardiometabolic diseases to Parkinson’s disease. Today’s readout builds on the promise demonstrated by NT-0796 in both preclinical and clinical studies so far this year. In February, the company showed that NT-0796 caused weight loss at nearly the same rate as Wegovy in mice. The results demonstrated that NLRP3 inhibitors are “uniquely positioned” over GLP-1 receptor agonists to block the initiation of cellular inflammatory responses to obesity-related damage-associated molecular patterns, researchers wrote in an article (PDF) published at the time in the Journal of Pharmacology and Experimental Therapeutics. Last month, a phase 1b/2a study showed that NT-0796 resulted in mean reductions of key pro-inflammatory biomarkers in Parkinson’s patients. NodThera President and Chief Scientific Officer Alan Watt, Ph.D., described today’s results as “an impressive data set, made all the more remarkable by being achieved within 28 days.” “In addition to the profound anti-neuroinflammatory effects in Parkinson’s disease patients demonstrated previously, the data generated in this study of NT-0796 show improvements in inflammatory and metabolic biomarkers of CV risk that go beyond that seen with antibody and peptide therapies,” Watt added in the release. “With additional reductions in body weight that should be enhanced with longer-duration dosing, NT-0796 is confirmed as a highly promising therapeutic agent for chronic inflammatory indications,” Watt said.

临床结果临床2期

100 项与 NT-0796 相关的药物交易

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研发状态

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适应症	最高研发状态	国家/地区	公司	日期
炎症	临床2期	美国	NodThera Ltd.初创企业	2023-10-10
肥胖	临床2期	美国	NodThera Ltd.初创企业	2023-10-10
心血管疾病	临床2期	美国	NodThera Ltd.初创企业	-
帕金森病	临床2期	-	NodThera Ltd.初创企业	-

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


Corporate Publications 人工标引	临床1/2期	帕金森病 Fibrinogen \| C-reactive Protein Expression \| TREM2 Expression \| ... 更多	-	NT-0796	顧積積觸範鑰艱獵鑰選(膚鑰鹹網鑰夢繭願壓壓) = adverse events (AEs) were mainly mild and transient, and no serious adverse events (SAEs) were observed. 網壓膚遞壓鏇簾鹽齋觸 (獵憲窪鏇網壓構蓋積餘 ) 更多	积极	2024-03-07
ACTRN12621001082897 (Biospace) 人工标引	临床1期	炎症	-	NT-0796	繭顧觸糧齋淵齋願窪糧(構齋選憲餘鹽鬱繭鏇簾) = Overall, NT-0796 was safe and well tolerated and no drug-related liver function test (LFT) abnormalities were observed 構選願衊衊淵窪淵鹹衊 (簾襯顧製繭憲鑰選衊齋 )	积极	2022-09-21