A Phase 1/2 Study of the Safety and Preliminary Activity of MYDICAR® at a Dose of 2.5 x 10^13 DNase Resistant Particles (DRP) in Subjects With Advanced Heart Failure Divided Into 2 Phases: Phase 1 Open-label and Phase 2 Randomized, Double-blind, Placebo-controlled

The purpose of this trial is to characterize the safety profile and preliminary activity of high-dose MYDICAR® in persons with advanced heart failure when added to their maximal and optimized therapy.

开始日期2015-04-01

申办/合作机构

Celladon Corp.

NCT00534703

/ Terminated临床2期IIT

Investigation of the Safety and Feasibility of AAV1/SERCA2a Gene Transfer in Patients With Chronic Heart Failure and a Left Ventricular Assist Device

The aim of the study is to determine the safety and feasibility of giving an adeno-associated viral vector expressing the sarcoplasmic reticulum calcium ATPase (SERCA2a), driven by the CMV promoter (AAV1-CMV-SERCA2a), to heart failure patients that have received a left ventricular assist device (LVAD) for an accepted clinical indication.

开始日期2014-07-01

申办/合作机构

Imperial College London

[+3]

NCT01966887

/ Terminated临床2期IIT

Phase 2 Study of SERCA2a Gene Transfer in Patients With Severe Heart Failure

The purpose of this study is to determine the effect of intracoronary SERCA2a Gene transfer on cardiac volumes and function using multimodality cardiac imaging.

开始日期2013-12-01

申办/合作机构

Assistance Publique des Hôpitaux de Paris SA

[+1]

100 项与 SERCA 2a gene therapy(Celladon Corp.) 相关的临床结果

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100 项与 SERCA 2a gene therapy(Celladon Corp.) 相关的转化医学

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100 项与 SERCA 2a gene therapy(Celladon Corp.) 相关的专利（医药）

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项与 SERCA 2a gene therapy(Celladon Corp.) 相关的文献（医药）

2016-03-01·Lancet (London, England)1区 · 医学

Calcium upregulation by percutaneous administration of gene therapy in patients with cardiac disease (CUPID 2): a randomised, multinational, double-blind, placebo-controlled, phase 2b trial

1区 · 医学

Article

作者: Jaski, Brian ; Pogoda, Janice M ; Greenberg, Barry ; Rudy, Jeffrey J ; Butler, Javed ; Lyon, Alexander R ; Felker, G Michael ; Barnard, Denise ; Ponikowski, Piotr ; Bouchard, Alain ; Voors, Adriaan A ; Desai, Akshay S ; Zsebo, Krisztina M

BACKGROUND:

Sarcoplasmic/endoplasmic reticulum Ca(2+)-ATPase (SERCA2a) activity is deficient in the failing heart. Correction of this abnormality by gene transfer might improve cardiac function. We aimed to investigate the clinical benefits and safety of gene therapy through infusion of adeno-associated virus 1 (AAV1)/SERCA2a in patients with heart failure and reduced ejection fraction.

METHODS:

We did this randomised, multinational, double-blind, placebo-controlled, phase 2b trial at 67 clinical centres and hospitals in the USA, Europe, and Israel. High-risk ambulatory patients with New York Heart Association class II-IV symptoms of heart failure and a left ventricular ejection fraction of 0·35 or less due to an ischaemic or non-ischaemic cause were randomly assigned (1:1), via an interactive voice and web-response system, to receive a single intracoronary infusion of 1 × 10(13) DNase-resistant particles of AAV1/SERCA2a or placebo. Randomisation was stratified by country and by 6 min walk test distance. All patients, physicians, and outcome assessors were masked to treatment assignment. The primary efficacy endpoint was time to recurrent events, defined as hospital admission because of heart failure or ambulatory treatment for worsening heart failure. Primary efficacy endpoint analyses and safety analyses were done by modified intention to treat. This trial is registered with ClinicalTrials.gov, number NCT01643330.

FINDINGS:

Between July 9, 2012, and Feb 5, 2014, we randomly assigned 250 patients to receive either AAV1/SERCA2a (n=123) or placebo (n=127); 243 (97%) patients comprised the modified intention-to-treat population. Patients were followed up for at least 12 months; median follow-up was 17·5 months (range 1·8-29·4 months). AAV1/SERCA2a did not improve time to recurrent events compared with placebo (104 vs 128 events; hazard ratio 0·93, 95% CI 0·53-1·65; p=0·81). No safety signals were noted. 20 (16%) patients died in the placebo group and 25 (21%) patients died in the AAV1/SERCA2a group; 18 and 22 deaths, respectively, were adjudicated as being due to cardiovascular causes.

INTERPRETATION:

CUPID 2 is the largest gene transfer study done in patients with heart failure so far. Despite promising results from previous studies, AAV1/SERCA2a at the dose tested did not improve the clinical course of patients with heart failure and reduced ejection fraction. Although we did not find evidence of improved outcomes at the dose of AAV1/SERCA2a studied, our findings should stimulate further research into the use of gene therapy to treat patients with heart failure and help inform the design of future gene therapy trials.

FUNDING:

Celladon Corporation.

2015-10-01·Molecular therapy : the journal of the American Society of Gene Therapy1区 · 医学

Gene Therapy for Heart Failure: Back to the Bench

1区 · 医学

作者: Ylä-Herttuala, Seppo

A review.Gene therapy for heart failure hit another bump on the road to clin. translation with the announcement by Celladon that its lead product Mydicar-adeno-associated viral vector 1 (AAV1)-expressing sarcoplasmic reticulum calcium ATPase (SERCA2a)-had failed in the phase IIb CUPID2 trial.¹.SERCA2a's role in heart failure was validated in the 1990s but proved to be an elusive target for therapeutic intervention using traditional drug discovery methods.It is well established that SERCA2a, which is critical to calcium homeostasis in the myocardium, is downregulated in failing heart, making it an important target for therapy.Mydicar represents enzyme-replacement gene therapy that aims to increase the content of this calcium transporter in cardiomyocytes.All primary, secondary, and exploratory efficacy end points were neg. in this phase IIb trial, which was unexpected following the encouraging findings in phases I and IIa.².The results send gene therapy for heart failure on a familiar path back to the bench, and the field must now strive to understand and overcome the factors contributing to this late-stage failure.Heart failure is an important target for the development of new therapies because it is the leading cause of frequent hospitalizations in United States and European Union, and, given a rapidly aging population, its incidence is likely to rise even further in the near future.The CUPID2 trial was a double-blind, randomized, placebo-controlled, multicenter study that evaluated the effects of a single intracoronary infusion of AAV1/SERCA2a vs. placebo in 250 patients with severe heart failure.The primary objective of the trial was to determine the efficacy of an intracoronary infusion of Mydicar compared with placebo, in conjunction with maximal optimized heart failure therapy, in reducing the frequency of and/or delaying heart failure-related hospitalizations in patients with systolic heart failure who are at increased risk of terminal events based on elevated levels of natriuretic peptides or a recent heart failure-related hospitalization.A secondary end point was time to the first terminal event, defined as all-cause mortality, heart transplant, or need for a mech. circulatory support device.Exploratory efficacy end points included a 6-min walking test and quality of life.A total of 243 of the patients were eligible for a modified intent-to-treat anal., and, remarkably, all these end points were inconsistent with a treatment effect.Why did Mydicar fail.The usual causes of failure at such a stage include a suboptimal vector dose, an inefficient vector and expression cassette, insufficient duration of gene expression, and/or inefficient gene delivery.An AAV1 vector delivered at the applied dose (10¹³ vg) has been shown to transduce cardiomyocyte in the preclin. setting, and the cytomegalovirus promoter-driven expression cassette is fairly strong in cardiomyocytes.No data are available on the duration of gene expression in the study, but in other human trials AAV has consistently expressed over several weeks or months.Therefore, these factors are less likely to be responsible for the failure.The most likely reason for the poor outcome is inefficient gene delivery into the fairly large myocardial tissue mass after a single intracoronary injection.Most AAVs bind avidly to the heparan sulfate-rich glycocalyx glycoprotein polysaccharide present on the vascular endothelium, and AAV does not pass efficiently through the intact endothelium into the myocardium.³ In addition, rapid blood flow in the coronary arteries quickly removes vector from the heart.At this time, the most efficient delivery method into the myocardium appears to be direct intramyocardial injection.Retrograde injection via the coronary sinus may also be an efficient method of delivery, but it is a much more difficult procedure and less practical for standard clin. therapy.In the CUPID2 trial, intracoronary delivery was probably chosen partly because it is a relatively easy procedure to apply in the clinic.It has also been suggested that the very sick patient population contributed to the poor outcome and that some toxic mechanisms in the microenvironment of the failing heart might have inactivated SERCA2a via posttranslational modifications such as oxidation or acetylation.However, only severe heart failure patients would eventually be eligible for gene therapy and as such any intended therapy should be effective under these conditions.Celladon had initially announced that they would examine patient subgroups that might have benefited from the therapy, but apparently this has not been successful.While further research is clearly warranted to explore the potential of SERCA2a in the treatment of heart failure, to most investigators in the field, the CUPID2 trial represents just another example of failed gene delivery into the large myocardium.Although this chapter of the CUPID1 and 2 trials is now closed, heart failure is still a very valid target for the development of new therapies, due to the large unmet clin. need.Alternative therapeutic transgenes include phospholamban, which also affects calcium handling in cardiomyocytes, protein phosphatase-1 inhibitor, calcium sensor S100A1, and adenylyl cyclase type 6.S100A1 was recently taken forward by Bristol-Myers Squibb after being licensed from uniQure for the treatment of congestive heart failure.Addnl. important targets in the pathogenesis of the failing heart are excess fibrosis, which renders the heart very rigid and unable to contract efficiently; heart-chamber remodeling; and apoptosis and unfavorable changes in cardiomyocyte energy metabolism, which might yield more clues for the development of new therapies.Thus, we can expect further developments in both therapeutic targets and the development of more efficient targeted vectors and delivery methods in the field to help identify more efficient therapies for patients with severe heart failure.

2011-02-01·Cardiovascular drugs and therapy

Clinical Trials Update AHA Congress 2010

作者: John J. V. McMurray ; John D. Horowitz ; Willem J. Remme ; Robert S. Rosenson ; Nikolaus Marx

The clinical trials described in this article were presented at the Late Breaking Trials and the Clinical Science: Clinical Reports sessions of the American Heart Association Congress held in November 2010 in Chicago. The sessions and topics chosen for this article reflect the scope of interest of Cardiovascular Drugs and Therapy. The presentations should be considered preliminary, as further analyses may be done, which could alter the final publication of the results of these studies. PROTECT (ProBNP Outpatient Tailored Chronic Heart Failure Therapy) was designed to test the hypothesis that adjustment of intensity of chronic heart failure (HF) therapy on the basis of NT-proBNP plasma level monitoring would improve outcomes. The results provided some support of this concept, but needs further evaluation in larger, blinded trials. REVEAL (Reduction of Infarct Expansion and Ventricular Remodeling with erythropoietin after large myocardial infarctions) evaluated in the clinical setting of ischemia-reperfusion following STEMI that erythropoietin could salvage ischemic myocardium. The results did not show a reduction in infarct size, but, in contrast, an increase in adverse event rates in the erythropoietin group. GRAVITAS (Gauging Responsiveness with a VerifyNow assay-Impact on Thrombosis and Safety trial) investigated the effect of a standard vs. high maintenance clopidogrel dose in patients with stable myocardial ischemia or NSTEMI and drug-eluting stent insertion. Patients with high PRU values as determined by VerfyNow assay were randomized to 75 mg or 150 mg clopidogrel daily. The study did not show a significant difference in primary event rate between both groups. The Cholesterol Treatment Trialists' Collaboration Studies group evaluated the concept proposed in the JUPITER study that HDL levels on statin treatment may not provide useful prognostic information. The CTTC in a large sample size of statin-treated patients observed, on the contrary, a significantly increased risk of CV events, even in patients with low LDL cholesterol levels. DEFINE (Determining the Efficacy and Tolerability of CETP inhibition with Anacetrapib) evaluated possible safety aspects with the CETP inhibitor anacetrapib (increase in blood pressure). The study did not show adverse safety aspects, but significantly reduced LDL cholesterol and increased HDL cholesterol levels. ASSERT, a phase 2 dose-ranging study, investigated whether RVX-208 would increase Apo-A1 production. Apo-A1 may induce cholesterol efflux from macrophages and facilitate atherosclerosis regression. The study did not meet its primary endpoint, but significant prominent effects on lipids were found. ASCEND-HF was a large trial of nesiritide in >7000 patients with acute heart failure. The study did not show convincing symptom benefit, but on the other hand did not show harmful effects of nesiritide. EMPHASIS-HF evaluated the long term effects of eplerenone in patients with mild (NYHA class II) heart failure and systolic dysfunction. The study was prematurely ended because of highly significant beneficial effects. CUPID (Calcium Up-regulation by Percutaneous administration of gene therapy In cardiac Disease) is the first human study with gene transfer of SERCA2a (AVV1/SERCA2a: Mydicar). In a small placebo-controlled dose-ranging study in advanced heart failure patients a multiple endpoint analysis provided positive effects of the highest dose on symptomatic, functional and structural efficacy endpoints without adverse effects.

项与 SERCA 2a gene therapy(Celladon Corp.) 相关的新闻（医药）

2023-12-12

·PRNewswire

Gene therapy market size to grow by USD 4,613.9 million from 2022 to 2027 | North America is estimated to contribute 39% to the growth - Technavio

NEW YORK, Dec. 12, 2023 /PRNewswire/ -- Technavio categorizes the global gene therapy market size as estimated to increase by USD 4,613.9 million between 2022 and 2027. The market's growth momentum will be progressing at a CAGR of 19.91% during the forecast period. By geography, the global gene therapy market is segmented into North America, Europe, Asia, and Rest of World (ROW). The report provides actionable insights and estimates the contribution of all regions to the growth of the global gene therapy market. North America is estimated to contribute 39% to the growth of the global gene therapy market during the forecast period. The US has become a lucrative market for increased investment in the North American gene therapy market. This comes from government agencies such as the National Institutes of Health (NIH) and the Biomedical Advanced Research and Development Authority (BARDA) providing funding to small industries and companies focused on developing new products. Moreover, increasing funding from government and private organizations will drive the development of gene therapy during the forecast period. Discover some insights on market size historic data (2017 to 2021) and Forecast (2023 to 2027) before buying the full report - Request a sample report Continue Reading Technavio has announced its latest market research report titled Global Gene Therapy Market 2023-2027 Global Gene Therapy Market - Segmentation Assessment Segment Overview Technavio has segmented the market based on therapy areas (oncology, CNS, ophthalmology, rare diseases, and others), and delivery mode (in vivo and ex vivo). The market growth in the oncology segment will be significant during the forecast period. The global oncology drugs market has a huge unmet demand for the treatment of various indications. Also, the increasing prevalence of cancer indications has led pharmaceutical companies and research institutions to conduct extensive research to develop drugs for these indications. The lack of efficacy of small molecules and biomolecules has led companies to move towards effective therapeutic options such as gene therapy. Such factors will increase the segment growth during the forecast period. For insights on global, regional, and country-level parameters with growth opportunities from 2017 to 2027 - Download a Sample Report Global Gene therapy market – Vendor Analysis Vendor Landscape - The global gene therapy market is fragmented, with the presence of several global as well as regional vendors. A few prominent vendors that offer gene therapy in the market are Abeona Therapeutics Inc., Adaptimmune Therapeutics plc, Adverum Biotechnologies Inc., Amgen Inc., Astellas Pharma Inc., Biogen Inc., bluebird bio Inc., Editas Medicine Inc., ElevateBio, F. Hoffmann La Roche Ltd., Generation Bio Co., Gilead Sciences Inc., Novartis AG, Orchard Therapeutics Plc, Poseida Therapeutics Inc., Sangamo Therapeutics Inc., Sibiono GeneTech Co. Ltd., Syncona Ltd., uniQure NV, and Voyager Therapeutics Inc. and others. A few prominent vendors that offer secure access service edge services in the market include: Abeona Therapeutics Inc.: The company offers gene therapy solutions such as Phase 3 VIITAL Clinical Trial of EB 101. Amgen Inc.: The company offers gene therapy solutions such as CAR T cell immunotherapies. Astellas Pharma Inc.: The company offers gene therapy solutions such as AT132, AT845, AT466. Biogen Inc.: The company offers gene therapy solutions such as GTxAU. What's New? - Special coverage on the Russia-Ukraine war; global inflation; recovery analysis from COVID-19; supply chain disruptions, global trade tensions; and risk of recession Global competitiveness and key competitor positions Market presence across multiple geographical footprints - Strong/Active/Niche/Trivial - Buy the report! Global Gene Therapy Market – Market Dynamics Key Driver - The growth of the market is driven by the increase in special drug designations. Most gene therapy programs have been granted orphan drug designation, fast track designation, or breakthrough designation by the U.S. FDA, EMA, and other regulatory bodies for the treatment of certain diseases. In addition, orphan drug status will also help the company with tax incentives in its next research. Such advantages of specialty drug designations will drive the growth of the market during the forecast period. Leading trend -Growing research in gene therapy for CVDs and orphan diseases is one of the key market trends that is contributing to the market growth. Due to the high prevalence of cardiovascular disease in adult patients over the age of 65, companies are shifting their R&D efforts toward developing gene therapies for these diseases. Coronary artery disease and heart failure require immediate treatment. Companies are therefore working to develop gene therapies that are administered to patients using viral vectors to angiogenic growth factors to promote collateral vessel development. For example, MYDICAR, a gene transfer therapy, is in Phase II development of Celladon for the treatment of heart failure. Such factors drive market growth during the forecast period. Major challenges - High treatment cost is one of the factors hindering the gene therapy market growth. Gene therapy costs range from USD 3 million to USD 1.2 million. Unlike other biomolecules and small molecules, gene therapy works differently for every individual and needs to be tailored separately for each. A mutated gene in a cell is taken from a patient and modified in the laboratory. The modified stem cells are introduced into the patient using a viral vector that is administered intravenously. This increases manufacturing costs and thus the overall cost of gene therapy. Such rising costs will be a challenging factor for the growth of the gene therapy market during the forecast period. Driver, Trend & Challenges are the factor of market dynamics which states about consequences & sustainability of the businesses, find some insights from a sample report! What are the key data covered in this Gene Therapy Market report? CAGR of the market during the forecast period Detailed information on factors that will drive the growth of the gene therapy market between 2023 and 2027 Precise estimation of the gene therapy market size and its contribution to the market in focus on the parent market Accurate predictions about upcoming trends and changes in consumer behavior Growth of the gene therapy market across North America, Europe, Asia, and Rest of World (ROW) A thorough analysis of the market's competitive landscape and detailed information about vendors Comprehensive analysis of factors that will challenge the growth of gene therapy market vendors Gain instant access to 17,000+ market research reports. Technavio's SUBSCRIPTION platform Related Reports: The cell and gene therapy market size is expected to increase by USD 9.97 billion from 2021 to 2026, and the market's growth momentum will accelerate at a CAGR of 20.15%. The cell therapy market size is expected to increase by USD 21.061 billion from 2021 to 2026, and the market's growth momentum will accelerate at a CAGR of 56.79%. TOC Executive Summary Market Landscape Market Sizing Historic Market Size Five Forces Analysis Market Segmentation by Therapy Areas market Segmentation by Delivery Mode Customer Landscape Geographic Landscape Drivers, Challenges, and Trends Company Landscape Company Analysis Appendix About US Technavio is a leading global technology research and advisory company. Their research and analysis focuses on emerging market trends and provides actionable insights to help businesses identify market opportunities and develop effective strategies to optimize their market positions. With over 500 specialized analysts, Technavio's report library consists of more than 17,000 reports and counting, covering 800 technologies, spanning across 50 countries. Their client base consists of enterprises of all sizes, including more than 100 Fortune 500 companies. This growing client base relies on Technavio's comprehensive coverage, extensive research, and actionable market insights to identify opportunities in existing and potential markets and assess their competitive positions within changing market scenarios. Contact Technavio Research Jesse Maida Media & Marketing Executive US: +1 844 364 1100 UK: +44 203 893 3200 Email: [email protected] Website: SOURCE Technavio

孤儿药临床2期快速通道基因疗法

2022-12-01

·生物制药小编

BMS终止历时七年基因疗法合作，AAV治心衰要被放弃？

上周批准的B型血友病基因疗法Hemgenix（350万美元，约合2500万元）又又又一次刷新了史上最贵药物的世界纪录。而正当CSL Behring和uniQure正在为Hemgenix的成功获批而欣喜之时，uniQure却在一份11月28日向美国证券交易委员会披露的文件中表示，百时美施贵宝（BMS）方面做出决定，将在2023年2月21日终止与uniQure方面已经维持了7年，价值10亿美元，以充血性心力衰竭为方向的基因治疗战略合作。不过，在提交的文件中，uniQure没有透露BMS选择终止协议的原因。这项合作最初始于2015年，那时的合作最初集中在一项基因S100A1上，这是一种钙结合蛋白，S100A1是心脏功能的主要调节因子，可通过SERCA2a、PLN、RyR2等多种途径发挥其调控钙循环的功能，在充血性心力衰竭模型中显示出恢复大部分心脏功能的潜力。而通过递送S100A1-AAV有治疗心力衰竭疾病的潜力。随后双方在2020年对协议设计的付款事宜，合作项目，排他性问题进行了修订，从现在来看，这些合作项目总共涉及了uniQure管线中未披露的四个项目。BMS的放弃虽然未曾说明原因，但也一定程度上打出了一个“问号”：采用基因治疗递送心脏来治疗心衰这件事本身可行吗？基因治疗治心衰的尝试目前基因治疗递送至心衰的主要靶点有：肌质网钙离子ATP酶2a（SERCA2a），腺苷酸环化酶 6（AC6），基质细胞衍生因子1（SDF-1）和S100A1等等，其中进入人体临床且采用AAV的仅有SERCA2a，在安全性方面基因治疗似乎与安慰剂并无差异，但在有效性方面这些基因疗法似乎都遇到了阻碍。以SERCA2a为例，使用AAV治疗心脏的临床开始于Roger J. Hajjar博士领导的使用AAV1递送SERCA2a。（又名MYDICAR）SERCA2a基因过表达可增强肌浆网钙泵逆浓度梯度重新摄取心肌细胞内钙离子，从而改善心肌高钙环境。在广泛小动物，大动物，体外的临床实验中，AAV1-SERCA2a均证明了AAV1改善了心肌收缩性。然而，2007年在患者中开展的I/II a期试验CUPID却并不如人意。尽管早期试验证明有临床事件减少，但2015年随后发布的临床数据表明，AAV1/SERCA2a在测试剂量下并未改善心力衰竭和射血分数降低患者的临床进程，临床也随之终止。这一失败导致了开发MYDICAR的Celladon公司因此一蹶不振，裁员80%，最后不得不选择与Eiger公司合并，而后MYDICAR也遭到“雪藏”。而对于AAV临床失败的原因，研究人员也有对此的解释，在他们检查了不幸死亡或接受心脏移植的受试者的心脏后发现，在分析的组织中几乎没有发现病毒载体基因组，这表明基因转导有缺陷，而不是转基因功能无效，这一结果表明，递送问题仍然是AAV的首要需要解决的问题。以AC6为例，2016年Hammond等人报道了Ad5.hAC6（研发代码RT-100）在心衰患者中的安全性和有效性数据，但其结果并不理想。虽然在心力衰竭患者中冠状动脉内递送Ad5.hAC6似乎是安全的，（基因治疗组和安慰剂组患者均有出现不良事件，其中不良事件指住院或死亡，但两组之间并没有统计学上差异。）但在一些关键指标上Ad5.hAC6的有效性似乎并不足以证明自己。同患者基因治疗组与安慰剂组比较，患者的运动耐量无显著差异。而评价心衰的重要指标射血分数（EF值）在4周时较安慰剂组上升(P<0. 04)，但在12周时EF值又无统计学差异(P = 0. 16)。在住院率方面，基因治疗组患者的住院率为9. 5%，而安慰剂组的住院率为28.6%(P = 0.1)。这些结果似乎表明Ad5（腺病毒）在心脏内递送具有持久性问题，研究人员也在发表论文中认为需要III期临床试验进行摸索。然而，可惜的是，进行该治疗的公司Renova Therapeutics在2019年时以重新评估RT-100的临床开发计划和战略为由撤回了III期临床，从该公司官网也并无后续太多关于RT-100的信息了。以SDF-1为例，表达SDF-1蛋白JVS-100有别于上述两种基因治疗方法，是通过质粒进行治疗的基因疗法。虽然安斯泰来在2018年时与Juventas Therapeutics公司就JVS-100达成了合作协定，然而，JVS-100的I期临床和II临床的数据差异似乎较大，I期临床展现出了6至12个月各项指标的改善，但在II期临床中，15mg 30mg JVS-100以及安慰剂组三组患者的上述指标并没有展现出统计学差异，但是对于心脏功能极差的患者(EF<26% )，在治疗的12个月时其EF值的增加量与安慰剂组比较具有统计学差异，这表明JVS-100由于其机制是通过通过促进心肌细胞的修复达到改善心功能的目的，因此对于心功能更差的患者SDF-1的效果可能更好。而目前，Juventas Therapeutics官网Pipeline上已经没有JVS-100的任何开发计划。小编总结总体而言，BMS终止合作的做法完全在意料之中，两家公司选择合作的2015年本就不是心衰AAV治疗的好时间，毕竟MYDICAR就是那段时间暂停的，隔了7年时间再选择停止，可能是为这没有意义的长跑划下了一个句号。参考来源：https://clinicaltrials.gov/ct2/show/NCT00534703?term=SERCA2a+AAV&draw=2&rank=1Hammond HK, Penny WF, Traverse JH, Henry TD, Watkins MW, Yancy CW, Sweis RN, Adler ED, Patel AN, Murray DR, Ross RS, Bhargava V, Maisel A, Barnard DD, Lai NC, Dalton ND, Lee ML, Narayan SM, Blanchard DG, Gao MH. Intracoronary Gene Transfer of Adenylyl Cyclase 6 in Patients With Heart Failure: A Randomized Clinical Trial. JAMA Cardiol. 2016 May 1;1(2):163-71. doi: 10.1001/jamacardio.2016.0008. PMID: 27437887; PMCID: PMC5535743. 内容来源于网络，如有侵权，请联系删除。

基因疗法引进/卖出

2012-12-12

·BioSpace

Celladon Corporation Announces First European Patient Dosed in CUPID Phase 2b Trial of MYDICAR&#0174 for Advanced Heart Failure

SAN DIEGO, Dec. 11, 2012 /PRNewswire/ -- Celladon Corporation, a biopharmaceutical company focused on the discovery and development of innovative treatments for cardiovascular diseases, announced today that it has dosed the first European patient in its ongoing international Phase 2b clinical trial of MYDICAR, Celladon's first in class therapeutic for the treatment of advanced heart failure (HF). The Phase 2b study titled "Calcium Up-Regulation by Percutaneous Administration of Gene Therapy In Cardiac Disease" ("CUPID Phase 2b Trial") is a multinational, multicenter, double-blind, placebo-controlled, randomized study of a single intracoronary administration of 1 x 1013 DRP MYDICAR versus placebo added to an optimal HF regimen. The first patient was dosed in August, 2012 in the United States and the trial will enroll approximately 200 patients in up to 50 international sites. The first European patient was dosed at The Heart Centre in Rigshospitalet University Hospital in Copenhagen, Denmark by Professor Jens Kastrup MD, DMSc, FESC. "The development of both ischemic and non-ischemic heart failure in patients is an increasing medical problem and there has been no major breakthrough in medication therapy for several years. Therefore, we are constantly looking for new treatment modalities for these patients. The established collaboration with Celladon and the investigation of the new innovative therapy MYDICAR for these patients with serious heart failure is very promising," noted Dr. Kastrup. "We are pleased to dose our first patient with MYDICAR outside of the United States and hereby initiating an enduring and imperative collaboration with our European clinical investigators. This is an important step in our development program which aims to provide a novel, safe, and highly effective therapeutic option to advanced heart failure patients worldwide," said Krisztina Zsebo Ph.D., President and CEO of Celladon Corp. Celladon Corporation has received investment capital supporting the ongoing clinical trial from an international investor syndicate including Lundbeckfond Ventures, the venture investment arm of the Lundbeck Foundation in Copenhagen, Denmark. About the CUPID Phase 2b Trial The CUPID Phase 2b trial was initiated in August 2012 and will enroll approximately 200 patients in up to 50 sites worldwide. Patients will first be prescreened for the presence of AAV neutralizing antibodies. Those patients with a negative titer will undergo further screening tests and procedures to determine eligibility prior to randomization and enrollment into the study. All patients will be randomized in parallel to MYDICAR or placebo in a ratio of 1:1 (1 x 1013 DRP MYDICAR to placebo). The primary objective is to determine the efficacy of MYDICAR in patients with ischemic or dilated cardiomyopathy and NYHA class III/IV symptoms of HF by reducing the frequency and/or delaying HF-related hospitalizations compared to placebo-treated patients. The primary efficacy endpoint is time-to-recurrent HF-related hospitalizations in the presence of terminal events (all-cause death, heart transplant, LVAD implantation). The secondary efficacy endpoint is the time-to-terminal event (all-cause death, heart transplant, LVAD implantation). Exploratory endpoints include change from baseline in NYHA class, 6 minute walk test distance, and quality of life (KCCQ) score. Secondary objectives will include assessment of the safety of MYDICAR by determining the incidence and severity of adverse events and changes in laboratory parameters. Safety evaluations include the incidence and severity of all adverse events (including procedure-related), summaries of concomitant medications, vital signs, physical exams, implantable cardioverter defibrillator (ICD) interrogations and laboratory parameters, and the time to cardiovascular-related death. About MYDICAR MYDICAR is a genetically targeted enzyme replacement therapy intended to restore levels of SERCA2a, a regulator of calcium cycling in the heart and cardiac contractility. SERCA2a levels decline in all forms of late-stage HF resulting in deficient heart function. With MYDICAR, the SERCA2a gene is delivered using recombinant adeno-associated virus (AAV) as the vector. AAV is a naturally occurring virus not associated with any disease in humans. MYDICAR is delivered in a single dose directly to the heart during a routine outpatient cardiac catheterization procedure, similar to an angiogram. MYDICAR is synergistic and additive across current HF treatments such as ACE inhibitors, beta-blockers, sprinolactone/diuretics, and biventricular pacing devices. No treatment substitution decision is required by the treating physician. A recent Phase 2 clinical trial demonstrated sustained improvement at one year in cardiac function parameters and quality of life. A 200 patient Phase 2b study of MYDICAR was initiated in August, 2012 About Celladon Celladon is a privately held biotechnology company founded with the goal of becoming the leader in developing molecular therapies for the treatment of heart failure and cardiac diseases. The company's lead product, MYDICAR, targets the key enzyme deficiency in advanced heart failure, SERCA2a, which regulates calcium cycling and contractility in heart muscle cells. Celladon also conducts pre-clinical research on a proprietary platform of small molecule activators of SERCA enzymes for the treatment of metabolic and cardiovascular diseases. Further information can be found at . SOURCE Celladon Corporation

基因疗法抗体First in Class小分子药物

100 项与 SERCA 2a gene therapy(Celladon Corp.) 相关的药物交易

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适应症	最高研发状态	国家/地区	公司	日期
缺血性心肌病	临床2期	美国	Celladon Corp.	2012-07-01
缺血性心肌病	临床2期	比利时	Celladon Corp.	2012-07-01
缺血性心肌病	临床2期	丹麦	Celladon Corp.	2012-07-01
缺血性心肌病	临床2期	德国	Celladon Corp.	2012-07-01
缺血性心肌病	临床2期	匈牙利	Celladon Corp.	2012-07-01
缺血性心肌病	临床2期	以色列	Celladon Corp.	2012-07-01
缺血性心肌病	临床2期	荷兰	Celladon Corp.	2012-07-01
缺血性心肌病	临床2期	波兰	Celladon Corp.	2012-07-01
缺血性心肌病	临床2期	瑞典	Celladon Corp.	2012-07-01
缺血性心肌病	临床2期	英国	Celladon Corp.	2012-07-01

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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


NCT00534703 (SERCA-LVAD, CTgov)	临床2期	慢性心力衰竭	5	AAV1/SERCA2a (AAV1/SERCA2A)	觸選襯繭膚簾觸願艱簾(餘窪窪網範夢夢餘窪憲) = 觸艱構糧築糧糧鏇觸構顧艱網選窪鬱鹽網網襯 (鹹餘蓋廠鹽構積鏇鏇壓, 選簾顧選衊窪鹽鹽膚蓋 ~ 遞願製觸蓋選襯窪艱憲) 更多	-	2020-02-25
				Placebo (Placebo)	觸選襯繭膚簾觸願艱簾(餘窪窪網範夢夢餘窪憲) = 繭構製憲構鏇網鏇鏇憲顧艱網選窪鬱鹽網網襯 (鹹餘蓋廠鹽構積鏇鏇壓, 衊鬱鑰簾範願壓簾鹹選 ~ 顧積獵齋鑰遞鏇糧獵願) 更多
NCT01643330 (CUPID 2, Pubmed \| Lancet) 人工标引	临床2期	心脏病	250	AAV1/SERCA2a	窪繭鹽壓製蓋範顧壓網(積鹹鹹積夢遞網鹹淵鹹) = 艱選窪艱衊壓觸鬱蓋襯廠範窪範艱齋窪簾鑰蓋 (膚構膚選獵鑰壓鹹窪醖 ) 更多	不佳	2016-03-19
				Placebo	窪繭鹽壓製蓋範顧壓網(積鹹鹹積夢遞網鹹淵鹹) = 壓範鏇夢製鹹壓鹹齋顧廠範窪範艱齋窪簾鑰蓋 (膚構膚選獵鑰壓鹹窪醖 ) 更多