Ensayo clínico piloto, unicéntrico, controlado con placebo, a doble-ciego, aleatorio y cruzado con alfa-1-antitripsina humana en sujetos con fibromialgia.A single-centre, randomised, double-blind, controlled with placebo, cross-over, pilot clinical trial with human alpha-1-antitrypsin in subjects with fibromyalgia.

开始日期2006-08-28

申办/合作机构

Instituto Grifols SA

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100 项与 Alpha-antitrypsin(PPL Therapeutics Plc) 相关的转化医学

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100 项与 Alpha-antitrypsin(PPL Therapeutics Plc) 相关的专利（医药）

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项与 Alpha-antitrypsin(PPL Therapeutics Plc) 相关的文献（医药）

2025-03-01·EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY

Quantitative evaluation of the efficacy and safety of first-line systemic therapies for advanced hepatocellular carcinoma

Article

作者: Wang, Xinrui ; Cai, Ruifen ; Zheng, Qingshan ; Wu, Lijuan ; Huang, Jihan ; Li, Lujin ; Liu, Yixiao

OBJECTIVES:

This study aimed to quantitatively evaluate the efficacy and safety of first-line systemic therapies for treating advanced hepatocellular carcinoma (aHCC).

METHODS:

The study included clinical trials of first-line systemic therapies for aHCC since the approval of sorafenib in 2007. Hazard function models were used to describe changes in overall survival (OS) and progression-free survival (PFS) over time. Monte Carlo simulation was used to compare OS and PFS for different treatments, including sorafenib, antiangiogenic therapies (AATs) (except sorafenib), immune checkpoint inhibitor (ICI) monotherapy, AAT + targeted therapy, AAT + chemotherapy, AAT + ICIs, and ICIs + ICIs. Furthermore, the objective response rate (ORR) and incidence of grade ≥ 3 adverse events were analyzed.

RESULTS:

Fifty studies comprising 12,918 participants were included. AAT + ICIs demonstrated a significant benefit in median OS (mOS), median PFS (mPFS), and ORR (20.5 [95% CI 17.5-24] months, 7.5 [95% CI 6.5-8.8] months, and 24% [95% CI 17%-30%], respectively). ICIs + ICIs and ICI monotherapy ranked second and third, respectively with an mOS of 20 (95% CI 18.5-21.5) months and 14.5 (95% CI 13.5-16) months, respectively. The OS, PFS, and ORR of patients treated with AAT, AAT + targeted therapy, and AAT + chemotherapy were similar to those of patients treated with sorafenib. A higher proportion of patients with Barcelona Clinic Liver Cancer (BCLC) stage C had a shorter OS. OS was associated with publication year, and PFS was associated with the proportion of patients with BCLC stage C. The incidence of grade ≥ 3 adverse events in the ICIs and ICIs + ICIs treatment groups was low.

CONCLUSIONS:

The study results provide valuable information from which to base rational clinical drug use and serves as a reliable external control for evaluating new treatments for aHCC.

2025-01-01·ERJ Open Research

Inhaled alpha-1 antitrypsin (AAT) restores lower respiratory tract protease–antiprotease homoeostasis and reduces inflammation in AAT-deficient individuals: a randomised phase 2 study

Article

作者: Devine, Megan ; Stocks, James ; Owens, Shuzi Z ; Alagem, Noga ; Tucker, Torry A ; Tov, Naveh ; Lascano, Jorge ; Flagg, Tammy ; Jeffers, Ann M ; Brantly, Mark

Background:

Alpha-1 antitrypsin (AAT)-deficient individuals have a greater risk for developing COPD than individuals with normal AAT levels.

Methods:

This was a double-blind, randomised, parallel group, placebo-controlled trial to examine the safety and tolerability of “Kamada-AAT for Inhalation” (inhaled AAT) in subjects with AAT deficiency, and to explore its effect on AAT and biomarkers in the lung epithelial lining fluid (ELF). 36 patients with severe AAT deficiency were randomised 2:1 to receive 80 mg or 160 mg inhaled AAT or placebo once daily for 12 weeks. The primary outcomes were AAT and antineutrophil elastase capacity (ANEC) in bronchoalveolar lavage and plasma after treatment. Secondary outcomes included safety, levels of normal M-type AAT in the plasma and concentrations of AAT, neutrophil elastase (NE), AAT–NE complexes and neutrophil count in the ELF.

Results:

12 weeks of active treatment significantly increased AAT, ANEC and AAT–NE complexes in the ELF. Mean antigenic AAT levels in the ELF were restored to 5.2±2.3 μM in the 80 mg arm and to 17.7±2 μM in the 160 mg arm. Both doses significantly restored AAT antiprotease activity within the lung and reduced NE levels. M-specific AAT levels in plasma increased in a dose-dependent manner. A clinically meaningful reduction in ELF neutrophil % was observed in the 80 mg arm. AAT for inhalation was well tolerated.

Conclusions:

Inhaled AAT restores protease–antiprotease homoeostasis and may represent a safe and effective therapy.

2024-10-03·EUROPACE

Sex- and age-specific differences in the use of antiarrhythmic therapies among atrial fibrillation patients: a nationwide cohort study

Article

作者: Hartikainen, Juha ; Salmela, Birgitta ; Kalatsova, Ksenia ; Lehto, Mika ; Penttilä, Tero ; Haukka, Jari ; Inkovaara, Jaakko ; Putaala, Jukka ; Teppo, Konsta ; Airaksinen, K E Juhani ; Aro, Aapo L ; Jaakkola, Jussi ; Linna, Miika ; Mustonen, Pirjo ; Halminen, Olli

Abstract:

Aims:

Atrial fibrillation (AF) patients frequently require active rhythm control therapy to maintain sinus rhythm and reduce symptom burden. Our study assessed whether antiarrhythmic therapies (AATs) are used disproportionately between men and women after new-onset AF.

Methods and results:

The nationwide Finnish anticoagulation in AF registry-based linkage study covers all patients with new-onset AF in Finland during 2007–2018. Study outcomes included initiation of AATs in the form of antiarrhythmic drugs (AADs), cardioversion, or catheter ablation. The study population constituted of 229 565 patients (50% females). Women were older than men (76.6 ± 11.8 vs. 68.9 ± 13.4 years) and had higher prevalence of hypertension or hyperthyroidism, but lower prevalence of vascular disease, diabetes, renal disease, and cardiomyopathies than men. Overall, 17.6% of women and 25.1% of men were treated with any AAT. Women were treated with AADs more often than men in all age groups [adjusted subdistribution hazard ratio (aSHR) 1.223, 95% confidence interval (CI) 1.187–1.261]. Cardioversions were also performed less often on women than on men aged <65 years (aSHR 0.722, 95% CI 0.695–0.749), more often in patients ≥ 75 years (aSHR 1.166, 95% CI 1.108–1.227), while no difference between the sexes existed in patients aged 65–74 years. Ablations were performed less often in women aged <65 years (aSHR 0.908, 95% CI 0.826–0.998) and ≥75 years (aSHR 0.521, 95% CI 0.354–0.766), whereas there was no difference in patients aged 65–74 years.

Conclusion:

Women used more AAD than men in all age groups but underwent fewer cardioversion and ablation procedures when aged <65 years.

项与 Alpha-antitrypsin(PPL Therapeutics Plc) 相关的新闻（医药）

2025-01-19

·药明康德

疾病控制率达90%的创新疗法；靶点作用率达95%的PI3Kα共价抑制剂…… | 一周盘点

▎药明康德内容团队编辑本期看点 1. 多肽偶联药物（PDC）AVA6000在治疗唾液腺癌（SGC）患者的1a期临床试验中获得积极数据，疾病控制率（DCR）达90%。 2. 蛋白降解药物BHV-1400在首个人体临床试验中获得积极结果，在最低剂量下只需一次注射，就可在4小时内将致病抗体水平降低60%。 3. PI3Kα共价抑制剂TOS-358在一项1期临床试验中对PI3Kα的靶点作用率达到95%。药明康德内容团队整理 AVA6000：公布1期临床试验数据 Avacta Therapeutics公司宣布，其在研多肽偶联药物AVA6000在治疗唾液腺癌患者的1a期临床试验中获得积极数据。唾液腺癌是一种在转移性阶段尚无标准治疗方案的疾病。AVA6000是Avacta研发管线中的首个多肽偶联药物，由阿霉素（doxorubicin）与Avacta专有的pre|CISION多肽偶联而成，该多肽可在肿瘤微环境中由成纤维细胞激活蛋白-α（FAP）特异性切割。FAP在大多数实体瘤中，与健康组织相比表达水平显著升高。Avacta的多肽偶联药物利用这一特征在肿瘤微环境中特异性释放活性药物，从而降低系统暴露和毒性，为患者提供最佳治疗效果。此次公布的数据显示，AVA6000在唾液腺癌患者中实现了显著且具有临床意义的肿瘤缩小。在接受250 mg/m²及以上剂量治疗的10名唾液腺癌患者中，DCR达90%，5名患者肿瘤显著缩小，其中包括一例部分缓解（PR，肿瘤缩小45%）和四例轻微缓解（MR，肿瘤缩小10%-19.5%）。安全性方面，在每两周一次和每三周一次两个剂量组中，AVA6000的耐受性良好，与常规剂量阿霉素相比，其血液学和心脏毒性明显降低。目前尚未在任一剂量组中确定最大耐受剂量（MTD）。 BHV-1400：公布1期临床试验的初步数据 Biohaven公司公布了其蛋白降解药物管线中的双特异性分子BHV-1400的最新结果。BHV-1400是一款基于耶鲁大学（Yale University）的MoDE技术的双特异性分子，它的一端与半乳糖缺乏型IgA1（Gd-IgA1）抗体结合，另一端与肝细胞表面的去唾液酸糖蛋白受体（ASGPR）结合。ASGPR介导肝细胞通过内吞过程，将靶点蛋白吞入细胞内进行降解。IgA肾病是由于Gd-IgA1的过度生产造成的，BHV-1400通过降低血液循环和肾脏中的Gd-IgA1水平，有望从根源治疗IgA肾病。此次公布的初步数据显示，BHV-1400在首个人体临床试验中获得积极结果，在最低剂量下只需一次注射，就可在4小时内将致病抗体水平降低60%。在某些患者中，观察到在8小时内将Gd-IgA1水平降低70%。此外，Gd-IgA1水平的降低在单次注射后可维持数天。安全性方面，迄今为止，BHV-1400在1期临床试验中的安全性和耐受性良好，未发现具有临床意义的先天和适应性免疫力的变化，并且未观察到剂量限制性毒性。这项研究将继续提高BHV-1400的剂量，探索降低Gd-IgA1水平的范围。基于该研究的积极结果，该公司还计划直接启动关键性临床试验，评估BHV-1400治疗IgA肾病的疗效和安全性。 ▲BHV-1400快速降低Gd-IgA1水平（图片来源：Biohaven公司官网） TOS-358：公布1期临床试验数据 Totus Medicines公司公布了其在研PI3Kα共价抑制剂TOS-358的1期临床试验数据。TOS-358是一款具高度特异性、强效的PI3Kα抑制剂，可在临床前模型中实现近100%的PI3Kα抑制，诱导带有PI3Kα突变的异种移植实体瘤的细胞死亡，包含结直肠癌、肺癌、乳腺癌、卵巢癌、食管癌、头颈癌，且几乎没有观察到非靶向抑制。此次公布的研究结果表明，TOS-358在低至5 mg每日两次（BID）的剂量下具有泛突变临床活性，对PI3Kα的靶点作用率达到95%，且观察到未经确认的完全缓解（CR）。安全性方面，未报道3/4级毒性。值得注意的是，几名接受给药的患者现在已超过6个月未发生进展。在成功完成1期剂量递增研究后，该公司现在启动了一项扩展研究，针对乳腺癌、子宫内膜癌、尿路上皮癌和头颈癌。 ORIC-944：公布1b期联合治疗试验数据 ORIC Pharmaceuticals公司公布了其选择性PRC2别构抑制剂ORIC-944联用阿帕鲁胺治疗转移性去势抵抗性前列腺癌（mCRPC）的1b期临床试验数据。截至2024年12月10日的数据，6例患者中有3例达到确认的PSA50应答（即PSA水平降低50%），其中2例达到确认的PSA90应答。所有PSA应答均维持≥12周，其中包括一例在38周时仍然持续的、确认的PSA90应答。 Soquelitinib：公布1期临床试验的中期数据 Corvus Pharmaceuticals公司公布了其小分子白细胞介素-2诱导的T细胞激酶（ITK）抑制剂soquelitinib用于治疗中度至重度特应性皮炎的1期临床试验的新中期数据。ITK是一种主要表达于T细胞中的酶，在T细胞和自然杀伤（NK）细胞的免疫功能中起重要作用。通过抑制ITK，soquelitinib有望抑制自身免疫和炎症反应。此次公布的结果显示，与安慰剂相比，soquelitinib治疗组在研究者总体评估（IGA）评分为0/1（皮肤症状清除或几乎清除）和湿疹面积和严重度指数较基线减少75%（EASI 75）这些临床终点方面显示出良好的疗效特征。在soquelitinib组的19例患者中，26%的患者达到IGA 0/1，37%的患者达到EASI 75。在安慰剂组的7例患者中，没有人达到IGA 0/1，也没有人达到EASI 75。安全性方面，未观察到明显的安全问题，也未发现临床上显著的实验室检测异常。 ▲治疗第28天达到终点IGA 0/1、EASI 75的患者占比（图片来源：参考资料[4]） ISM5411：公布两项1期临床试验数据英矽智能（Insilico Medicine）公司宣布，其自主研发的候选药物ISM5411已完成在澳大利亚和中国开展的两项1期研究，并取得了积极的初步结果。ISM5411是一种潜在用于治疗炎症性肠病（IBD）的小分子抑制剂，靶向PHD1/2靶点且具有新颖的分子结构，该候选药物设计和优化得到了英矽智能生成化学平台Chemistry42的支持。此次公布的结果显示，在所有剂量组中ISM5411均表现出良好的安全性和耐受性，并初步验证了肠道限制性药代动力学（PK）特征。基于1期临床试验的积极结果，英矽智能预计将于2025年下半年启动一项评估ISM5411在活动性溃疡性结肠炎患者中的2期临床试验。 MBX 1416：公布1期临床试验数据 MBX Biosciences公司公布了在健康成年受试者中开展的MBX 1416单剂量递增和多剂量递增临床试验的积极结果。MBX 1416是一种长效胰高血糖素样肽1（GLP-1）受体拮抗剂，用于治疗减肥后的低血糖症（PBH）。MBX 1416采用MBX公司新颖、专有的精准内分泌肽（PEP）平台设计，旨在防止PBH患者发生严重低血糖，使他们能够过上更健康、更独立的生活。此次公布的结果显示，MBX 1416通常安全性和耐受性良好，并且具有良好的药代动力学特征，支持每周一次给药。基于这些结果，该公司计划于2025年下半年在PBH患者中启动一项2期研究，以进一步优化剂量。 ▲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] Avacta Announces Positive New Data from the AVA6000 Phase 1 trial Demonstrating Clinically Meaningful Tumor Shrinkage in Patients with Salivary Gland Cancers. Retrieved January 16, 2025, from https://www.globenewswire.com/news-release/2025/01/16/3010665/0/en/Avacta-Announces-Positive-New-Data-from-the-AVA6000-Phase-1-trial-Demonstrating-Clinically-Meaningful-Tumor-Shrinkage-in-Patients-with-Salivary-Gland-Cancers.html [2] Biohaven Highlights Portfolio Progress, Innovation, and Anticipated Milestones at the 43rd Annual J.P. Morgan Healthcare Conference; Reports Positive Degrader Data with Rapid, Deep, and Selective Lowering of Galactose-Deficient IgA1 with Next Generation Potential Therapy for IgA Nephropathy. Retrieved January 14, 2025, from https://www.prnewswire.com/news-releases/biohaven-highlights-portfolio-progress-innovation-and-anticipated-milestones-at-the-43rd-annual-jp-morgan-healthcare-conference-reports-positive-degrader-data-with-rapid-deep-and-selective-lowering-of-galactose-deficient-ig-302349336.html [3] Totus Medicines Announces Successful Completion of a Phase 1 Dose-Escalation Study and Initiation of an Expansion Trial Evaluating TOS-358, a Covalent PI3Ka Selective Therapy for the Treatment of Select Solid Tumors and Appoints Zelanna Goldberg as Chief Medical Officer. Retrieved January 17, 2025, from https://www.globenewswire.com/news-release/2025/01/10/3007658/0/en/Totus-Medicines-Announces-Successful-Completion-of-a-Phase-1-Dose-Escalation-Study-and-Initiation-of-an-Expansion-Trial-Evaluating-TOS-358-a-Covalent-PI3Ka-Selective-Therapy-for-th.html [4] Corvus Pharmaceuticals Announces Data from Cohort 2 of Placebo-Controlled Phase 1 Clinical Trial of Soquelitinib for Atopic Dermatitis. Retrieved January 17, 2025, from https://www.globenewswire.com/news-release/2025/01/13/3008374/0/en/Corvus-Pharmaceuticals-Announces-Data-from-Cohort-2-of-Placebo-Controlled-Phase-1-Clinical-Trial-of-Soquelitinib-for-Atopic-Dermatitis.html [5] ORIC® Pharmaceuticals Provides Early Phase 1b Combination Data for ORIC-944, Operational Highlights for 2024, and Anticipated Upcoming Milestones. Retrieved January 17, 2025, from https://www.globenewswire.com/news-release/2025/01/13/3008495/0/en/ORIC-Pharmaceuticals-Provides-Early-Phase-1b-Combination-Data-for-ORIC-944-Operational-Highlights-for-2024-and-Anticipated-Upcoming-Milestones.html [6] 英矽智能公布炎症性肠病药物ISM5411两项I期临床试验的积极结果. Retrieved January 17, 2025, from https://www.prnasia.com/story/474986-1.shtml [7] MBX Biosciences Announces Positive Phase 1 Topline Results for MBX 1416 for the Treatment of Post-bariatric Hypoglycemia. Retrieved January 17, 2025, from https://www.globenewswire.com/news-release/2025/01/07/3005223/0/en/MBX-Biosciences-Announces-Positive-Phase-1-Topline-Results-for-MBX-1416-for-the-Treatment-of-Post-bariatric-Hypoglycemia.html [8] Mersana Therapeutics Announces Positive Initial Clinical Data from Phase 1 Clinical Trial of Emiltatug Ledadotin (XMT-1660); Initiation of Expansion in Triple Negative Breast Cancer. Retrieved January 17, 2025, from https://www.globenewswire.com/news-release/2025/01/10/3007493/0/en/Mersana-Therapeutics-Announces-Positive-Initial-Clinical-Data-from-Phase-1-Clinical-Trial-of-Emiltatug-Ledadotin-XMT-1660-Initiation-of-Expansion-in-Triple-Negative-Breast-Cancer.html [9] Axcynsis Therapeutics Receives FDA Clearance for IND Application of AT03-65, a Differentiated CLDN6-Targeting ADC, Powered by AxcynDOT™ Technology. Retrieved January 17, 2025, from https://www.prnewswire.com/news-releases/axcynsis-therapeutics-receives-fda-clearance-for-ind-application-of-at03-65-a-differentiated-cldn6-targeting-adc-powered-by-axcyndot-technology-302350114.html [10] Ocugen, Inc. Announces Positive 2-Year Data Across Multiple Mutations from Phase 1/2 Clinical Trial of OCU400 —A Novel Modifier Gene Therapy for Retinitis Pigmentosa. Retrieved January 17, 2025, from https://www.globenewswire.com/news-release/2025/01/13/3008252/0/en/Ocugen-Inc-Announces-Positive-2-Year-Data-Across-Multiple-Mutations-from-Phase-1-2-Clinical-Trial-of-OCU400-A-Novel-Modifier-Gene-Therapy-for-Retinitis-Pigmentosa.html [11] Verismo Therapeutics Announces First Patient Infused in Phase 1 CELESTIAL-301 Clinical Trial of SynKIR™-310. Retrieved January 17, 2025, from https://www.prnewswire.com/news-releases/verismo-therapeutics-announces-first-patient-infused-in-phase-1-celestial-301-clinical-trial-of-synkir-310-302347464.html [12] Caribou Biosciences Initiates the CB-010 GALLOP Phase 1 Trial in Lupus and Provides Outlook for Multiple Clinical Datasets in 2025. Retrieved January 17, 2025, from https://www.globenewswire.com/news-release/2025/01/13/3008079/0/en/Caribou-Biosciences-Initiates-the-CB-010-GALLOP-Phase-1-Trial-in-Lupus-and-Provides-Outlook-for-Multiple-Clinical-Datasets-in-2025.html [13] Arcturus Therapeutics Announces Initiation of Phase 1 H5N1 Flu Vaccine Trial. Retrieved January 17, 2025, from https://ir.arcturusrx.com/news-releases/news-release-details/arcturus-therapeutics-announces-initiation-phase-1-h5n1-flu [14] Korro Bio Announces Dosing of First Participants in REWRITE Phase 1/2a Study of KRRO-110 for Alpha-1 Antitrypsin Deficiency and Provides Pipeline Update. Retrieved January 17, 2025, from https://www.globenewswire.com/news-release/2025/01/13/3008445/0/en/Korro-Bio-Announces-Dosing-of-First-Participants-in-REWRITE-Phase-1-2a-Study-of-KRRO-110-for-Alpha-1-Antitrypsin-Deficiency-and-Provides-Pipeline-Update.html [15] NextCure Announces First Patient Dosed in the Phase 1 Study of LNCB74 (B7-H4 ADC) as Therapeutic for Treating Multiple Cancers. Retrieved January 17, 2025, from https://ir.nextcure.com/news-releases/news-release-details/nextcure-announces-first-patient-dosed-phase-1-study-lncb74-b7 [16] LAVA Doses First Patient in Phase 1 LAVA-1266 Study in Hematological Cancers. Retrieved January 17, 2025, from https://www.globenewswire.com/news-release/2025/01/10/3007674/0/en/LAVA-Doses-First-Patient-in-Phase-1-LAVA-1266-Study-in-Hematological-Cancers.html [17] Context Therapeutics Announces First Patient Dosed in the Phase 1 Clinical Trial of CTIM-76. Retrieved January 17, 2025, from https://www.globenewswire.com/de/news-release/2025/01/14/3009673/0/en/Context-Therapeutics-Announces-First-Patient-Dosed-in-the-Phase-1-Clinical-Trial-of-CTIM-76.html [18] Ocugen, Inc. Announces First Patient Dosed in Phase 1 Clinical Trial of OCU200—a Novel Integrin-Targeting Biologic for Diabetic Macular Edema. Retrieved January 17, 2025, from https://ir.ocugen.com/news-releases/news-release-details/ocugen-inc-announces-first-patient-dosed-phase-1-clinical-trial [19] ProMIS Neurosciences Initiates Phase 1b Clinical Trial (PRECISE-AD) in Alzheimer’s Disease. Retrieved January 17, 2025, from https://www.promisneurosciences.com/news-media/press-releases/detail/236/promis-neurosciences-initiates-phase-1b-clinical-trial [20] Aptose Announces First AML Patients Dosed with Tuspetinib Triplet Frontline Therapy in TUSCANY Trial. Retrieved January 17, 2025, from https://www.aptose.com/news-media/press-releases/detail/307/aptose-announces-first-aml-patients-dosed-with-tuspetinib [21] ORYZON announces first patient dosed in NCI-sponsored iadademstat in combination with venetoclax and azacitidine clinical trial in first line acute myeloid leukemia. Retrieved January 17, 2025, from https://www.oryzon.com/en/news-events/news/oryzon-announces-first-patient-dosed-nci-sponsored-iadademstat-combination [22] 한미약품-GC녹십자, ‘파브리병’ 국내 1/2상 IND 승인. Retrieved January 17, 2025, from https://www.biospectator.com/news/view/24043 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

临床结果临床1期多肽偶联药物

2024-10-20

·药明康德

一周内见效，超90%患者缓解的单抗疗法；联用CAR-T疗法使疗效倍增的创新疗法…… | 一周盘点

▎药明康德内容团队编辑本期看点 1. 新型IL-15受体激动剂NKTR-255联用嵌合抗原受体（CAR）-T细胞疗法治疗复发或难治性B细胞急性淋巴细胞白血病（B-ALL），患者12个月时的无进展生存率是单独使用CAR-T细胞疗法历史对照组的两倍（67%对比38%）。 2. 单抗疗法briquilimab在针对慢性诱发性荨麻疹（CIndU）患者开展的1b/2a期研究中表现亮眼，93%的患者在接受治疗后6周达成缓解。 3. 首个进入人体临床试验的工程化B细胞疗法ISP-001的初步结果积极，首位接受治疗的1型黏多糖贮积症（MPS I）患者已停止使用标准疗法。药明康德内容团队整理 NKTR-255：公布1期联合治疗试验数据 Nektar Therapeutics公司公布了一项1期研究的首个临床数据，该研究评估了其新型IL-15受体激动剂NKTR-255联用靶向CD19和CD22的自体双特异性CAR-T细胞疗法治疗复发或难治性B细胞急性淋巴细胞白血病患者的效果。NKTR-255是一种聚合物偶联人IL-15，它能保持与IL-15受体α亚基的结合亲和力，并降低清除率，从而提供持续的药效学作用。NKTR-255具有增强免疫治疗效果的潜力。此次公布的结果显示，NKTR-255联用CAR-T细胞疗法治疗复发或难治性B-ALL患者的疗效良好。9名患者中有8名获得了完全缓解（CR），伴有或不伴有血液学恢复，所有患者均未检测到微小残留病（MRD）。此外，与仅接受相同CAR-T细胞疗法的历史对照组相比，NKTR-255联用CAR-T细胞疗法组患者的12个月无复发生存率更高（67%对比38%）。历史对照组患者的中位无复发生存期（RFS）为3.9个月，联合治疗组患者接受随访超过14个月，中位RFS尚未达到。安全性方面，未观察到与NKTR-255相关的剂量限制性毒性。联合治疗组中观察到的毒性与单独使用CAR-T细胞治疗后观察到的毒性相似。 Briquilimab：公布1b/2a期临床试验数据 Jasper Therapeutics公司公布了其候选单抗briquilimab用于治疗慢性诱发性荨麻疹的1b/2a期研究SPOTLIGHT的初步数据。Briquilimab是一种非糖基化单克隆抗体，可通过靶向细胞表面受体c-Kit（也称为CD117）以避免与干细胞因子结合，从而阻断肥大细胞中的关键生存信号，造成细胞凋亡与耗竭，从而消除肥大细胞驱动疾病（如慢性荨麻疹）中炎症反应的潜在来源。此次公布的结果显示，CIndU患者在接受briquilimab皮下注射后1周便观察到CR，且93%的患者在接受治疗后6周达成缓解。120毫克剂量组中，12名患者中有10名（83%）达到了CR，1名达成部分缓解（PR）。40毫克组中，1名患者达成CR，2名患者达成PR。该公司已获得监管批准在SPOTLIGHT研究中招募患者接受更高剂量药物的治疗。 ISP-001：公布1期临床试验中首例患者的数据 Immusoft公司公布了首位接受其工程化B细胞疗法ISP-001治疗的1型黏多糖贮积症患者的积极结果。根据新闻稿，ISP-001是首个进入人体临床试验的工程化B细胞疗法。该疗法使用非病毒载体将表达α-L-艾杜糖苷酶的转基因引入B细胞中，能够让经过改造的B细胞长期大量生产治疗性蛋白，从而改善患者症状。此次公布的临床试验结果显示，首位接受ISP-001治疗的患者在接受治疗3-8个月后，尿液中的多糖疾病生物标志物水平降低到正常范围内。这名患者脑脊液中的硫酸乙酰肝素（HS）水平在接受治疗6个月时降低25%。这是FDA认可的一个与MPS I疾病活动相关的替代终点。生物标志物之外，这名患者的6分钟行走检测表现提高30%，并且肩部活动范围在6个月时得到改善。关节僵硬是MPS I的症状之一。在接受治疗8个月后，该患者停止使用标准酶替代疗法（ERT）。随后的一个月里，患者的6分钟行走检测表现仍然获得改善，不过幅度比6个月时有所下降，肩部活动范围的改善得到维持。安全性方面，ISP-001的耐受性良好。截至2024年9月19日，尚未报告任何不良事件。 WVE-006：公布1b/2a期临床试验数据 Wave Life Sciences公司公布了其在研RNA编辑候选疗法WVE-006用于治疗α-1抗胰蛋白酶缺乏症（AATD）的1b/2a期临床试验RestorAATion-2的积极结果。AATD是一种可影响肺和肝脏功能的遗传疾病，患者除了缺乏具有正常功能的α-1抗胰蛋白酶（AAT），其突变型AAT蛋白的积累也会损害肝脏和肺部。WVE-006是一款通过PN化学修饰和GalNAc偶联，以皮下注射方式给药的潜在“first-in-class”RNA编辑寡核苷酸疗法。WVE-006的设计旨在修复SERPINA1等位基因编码mRNA中的单碱基突变，从而恢复血液中的功能性野生型AAT蛋白，同时减少异常AAT蛋白的存在，以潜在治疗AATD相关的肺病和/或肝病。此次公布的结果显示，WVE-006能够成功编辑AATD患者的基因。基线时未能检测到患者体内的AAT蛋白，而在试验第15天时，患者的平均总AAT蛋白水平达到10.8微摩尔，达到了监管机构批准AAT增强疗法的标准。此外，早在试验第3天，患者的总AAT和M-AAT蛋白水平即较基线增加，并持续到第57天。根据新闻稿，WVE-006是首个进入临床开发的RNA编辑疗法，该试验结果是RNA编辑疗法在人体当中完成的首次机制验证。 BB-301：公布1b/2a期临床试验中前两例患者的数据 Benitec Biopharma公司公布了其开发用于治疗眼咽肌营养不良（OPMD）的沉默和取代基因疗法BB-301在早期临床试验中的前两例患者的积极数据。该疗法利用一种新型的、经过改良的AAV9载体，表达一种独特的、单一的双功能构建体，从而能够促进密码子优化的PABPN1基因和两个针对PABPN1突变体siRNA的共同表达。这两个siRNA被塑造成微RNA骨架，以抑制有缺陷的PABPN1突变体的表达，同时允许表达经过密码子优化的PABPN1基因，用PABPN1蛋白的功能性版本取代突变体。两名患者接受了最低剂量的BB-301治疗，未报告值得注意的不良事件。此次公布的结果显示，1号患者和2号患者分别在接受BB-301治疗9个月和6个月后，吞咽功能得到了持久且有临床意义的改善。其中，在基线时症状更轻的2号患者的悉尼吞咽问卷评分已达到了临床定义的正常水平。新闻稿指出，这是使用新型基因疗法成功改善OPMD患者吞咽功能的首次报道。 SR-02：IND申请获得FDA许可 Seraxis公司宣布，其新型胰岛替代疗法SR-02的IND申请已获得FDA许可，可开展1/2期临床研究。SR-02由同种异体胰腺内分泌细胞簇组成，当被植入网膜时，可在患者自身的胰腺外形成功能性内分泌胰腺。SR-02能够以临床规模生产，由健康供体胰腺组织进行重编程后产生的专有干细胞系制成。新闻稿指出，SR-02作为一种有潜力功能性治愈需要胰岛素的糖尿病患者的疗法，是FDA许可的首个可用于人体试验的重编程干细胞衍生的候选胰腺产品。 CLN-978：IND申请获得FDA许可 Cullinan Therapeutics公司宣布，美国FDA批准了其新型、高效的CD19 x CD3靶向双特异性T细胞接合器CLN-978的IND申请，其针对中度至重度系统性红斑狼疮（SLE）患者的全球1期临床试验可在美国开展。新闻稿指出，CLN-978是首个在自身免疫疾病领域获得美国FDA授予IND批准的在研CD19靶向T细胞接合器。 CLN-978可在体外和体内引发对表达CD19的靶细胞的定向裂解。CLN-978与CD19的结合亲和力极高，可有效靶向B细胞，包括CD19水平极低的B细胞。CLN-978的分子量小（65 kDa），含有两个单链可变片段，一个与CD19结合，另一个与T细胞上的CD3结合，还有一个与人血清白蛋白结合的单结构域抗体，可延长血清半衰期。CLN-978有望为SLE和类风湿性关节炎等自身免疫疾病患者提供一种方便、现货型、皮下注射的治疗选择。 ▲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] Immusoft to Announce Positive Phase 1 Data for First Engineered B Cell Therapy in a Clinical Trial. Retrieved October 15, 2024, from https://www.prnewswire.com/news-releases/immusoft-to-announce-positive-phase-1-data-for-first-engineered-b-cell-therapy-in-a-clinical-trial-302255551.html [2] Seraxis Announces FDA IND Allowance for Clinical Study of SR-02 Replacement Islets for Type 1 Diabetes. Retrieved October 18, 2024, from https://seraxis.com/wp-content/uploads/2024/10/Seraxis-IND-clearance-PR-FINAL-for-release-15Oct2024.pdf [3] Nektar Announces Publication in Blood of Phase 1 Data for Novel IL-15 Agonist NKTR-255 in Combination with Autologous CD19-22 CAR-T Cell Therapy in Patients with B-cell Acute Lymphoblastic Leukemia. Retrieved October 18, 2024, from https://ir.nektar.com/news-releases/news-release-details/nektar-announces-publication-blood-phase-1-data-novel-il-15 [4] Jasper Therapeutics Reports Positive Data from SPOTLIGHT Study of Briquilimab in Chronic Inducible Urticaria. Retrieved October 14, 2024 from https://www.globenewswire.com/news-release/2024/10/14/2962446/0/en/Jasper-Therapeutics-Reports-Positive-Data-from-SPOTLIGHT-Study-of-Briquilimab-in-Chronic-Inducible-Urticaria.html [5] Wave Life Sciences Announces First-Ever Therapeutic RNA Editing in Humans Achieved in RestorAATion-2 Trial of WVE-006 in Alpha-1 Antitrypsin Deficiency. Retrieved October 16, 2024 from https://www.globenewswire.com/news-release/2024/10/16/2964053/0/en/Wave-Life-Sciences-Announces-First-Ever-Therapeutic-RNA-Editing-in-Humans-Achieved-in-RestorAATion-2-Trial-of-WVE-006-in-Alpha-1-Antitrypsin-Deficiency.html [6] Benitec Biopharma Reports Positive Data from Two Subjects Treated with Low-Dose BB-301 in Phase 1b/2a Study Presented at 29th Annual Congress of the World Muscle Society. Retrieved October 18, 2024, from https://www.globenewswire.com/news-release/2024/10/12/2962249/0/en/Benitec-Biopharma-Reports-Positive-Data-from-Two-Subjects-Treated-with-Low-Dose-BB-301-in-Phase-1b-2a-Study-Presented-at-29th-Annual-Congress-of-the-World-Muscle-Society.html [7] Cullinan Therapeutics Receives U.S. FDA Clearance of Investigational New Drug Application for CLN-978 Administered Subcutaneously in Patients with Moderate to Severe Systemic Lupus Erythematosus. Retrieved October 18, 2024, from https://investors.cullinantherapeutics.com/news-releases/news-release-details/cullinan-therapeutics-receives-us-fda-clearance-investigational [8] SystImmune, Inc. Announces FDA Clearance of IND Application for BL-M11D1 in Relapsed/Refractory Acute Myeloid Leukemia. Retrieved October 18, 2024, from https://www.prnewswire.com/news-releases/systimmune-inc-announces-fda-clearance-of-ind-application-for-bl-m11d1-in-relapsedrefractory-acute-myeloid-leukemia-302275098.html [9] Circle Pharma announces first patients dosed in Phase 1 clinical trial of first-in-class oral Cyclin A/B RxL inhibitor CID-078 for advanced solid tumors. Retrieved October 18, 2024, from https://circlepharma.com/circle-pharma-announces-first-patients-dosed-in-phase-1-clinical-trial-of-first-in-class-oral-cyclin-a-b-rxl-inhibitor-brcid-078-for-advanced-solid-tumors [10] Immutep Announces First-in-Human Phase I Study of IMP761 Progresses to Dose Escalation Portion of Trial. Retrieved October 18, 2024, from https://www.globenewswire.com/news-release/2024/10/17/2964816/0/en/Immutep-Announces-First-in-Human-Phase-I-Study-of-IMP761-Progresses-to-Dose-Escalation-Portion-of-Trial.html [11] Bright Peak Therapeutics Announces Dosing of First Patient in Phase 1/2a Clinical Trial of BPT567, a First-in-Class Bifunctional PD1-IL18 Immunoconjugate. Retrieved October 18, 2024, from https://brightpeaktx.com/bright-peak-therapeutics-announces-dosing-of-first-patient-in-phase-1-2a-clinical-trial-of-bpt567-a-first-in-class-bifunctional-pd1-il18-immunoconjugate/ [12] Athos Announces Positive Topline Phase 1 Data for its AI-Generated, Novel, Oral G9A Inhibitor ATH-063, Demonstrating Selective Expansion and Activation of Potent Anti-Inflammatory Regulatory T Cells. Retrieved October 18, 2024, from https://athostx.com/news-posts/athos-announces-positive-topline-phase-1-data-for-its-ai-generated-novel-oral-g9a-inhibitor-ath-063-demonstrating-selective-expansion-and-activation-of-potent-anti-inflammatory-regulatory-t-cells/ [13] Latigo Biotherapeutics Doses First Participant in Phase 1 Clinical Trial of LTG-305 for Non-Opioid Treatment of Pain. Retrieved October 18, 2024, from https://www.prnewswire.com/news-releases/latigo-biotherapeutics-doses-first-participant-in-phase-1-clinical-trial-of-ltg-305-for-non-opioid-treatment-of-pain-302276944.html [14] IgGenix Announces First Patient Dosed in Phase 1 Clinical Trial "ACCELERATE Peanut" Evaluating IGNX001 in Peanut Allergy. Retrieved October 18, 2024, from https://www.prnewswire.com/news-releases/iggenix-announces-first-patient-dosed-in-phase-1-clinical-trial-accelerate-peanut-evaluating-ignx001-in-peanut-allergy-302277256.html [15] Repare Therapeutics Doses First Patient in Phase 1 Clinical Trial of RP-3467, a Polθ ATPase Inhibitor. Retrieved October 18, 2024, from https://ir.reparerx.com/news-releases/news-release-details/repare-therapeutics-doses-first-patient-phase-1-clinical-trial-2 [16] uniQure Announces Dosing of First Patient in Phase I/II Clinical Trial of AMT-162 for the Treatment of SOD1-ALS. Retrieved October 18, 2024, from https://www.globenewswire.com/news-release/2024/10/15/2963063/0/en/uniQure-Announces-Dosing-of-First-Patient-in-Phase-I-II-Clinical-Trial-of-AMT-162-for-the-Treatment-of-SOD1-ALS.html#:~:text=LEXINGTON%2C%20Mass.%20and%20AMSTERDAM%2C%20Oct.%2015%2C%202024%20%28GLOBE,a%20rare%2C%20inherited%20and%20progressive%20motor%20neuron%20disease. 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

细胞疗法临床结果免疫疗法临床1期

2024-10-18

·药明康德

里程碑！全球首次，RNA编辑疗法获临床概念验证

Wave Life Sciences今天宣布其进行中的临床1b/2a期RestorAATion-2研究获得积极结果。该公司旗下在研RNA编辑候选疗法WVE-006能够成功编辑α-1抗胰蛋白酶缺乏症（AATD）患者的基因，完成临床机制验证。Wave预计将在2025年分享多次给药数据。根据新闻稿，WVE-006是首个进入临床开发的RNA编辑疗法，而今天的试验结果是RNA编辑疗法在人体当中完成首次机制验证。 AATD是一种可影响肺和肝脏功能的遗传疾病，由于缺乏具有正常功能的α-1抗胰蛋白酶（AAT），新生儿可能出现肝炎综合征，成年人则可能出现肝纤维化，甚至发展为肝硬化和肝细胞癌。该疾病的主要病理特点是突变型AAT蛋白的积累，这些突变的蛋白会损害肝脏和肺部。在欧美国家和地区大约有20万名患者在两个SERPINA1等位基因上都有Z突变（即Pi*ZZ纯合子基因型）。目前AATD肺病的唯一治疗选择是通过每周静脉输注以递送AAT蛋白。AATD肝病目前尚无治疗方法，许多患者最终需要接受肝脏移植。此次公布的数据来自RestorAATion-2试验中的首个单剂量组（200毫克），包括前两名Pi*ZZ型AATD患者，从试验开始至第57天的结果。由于Pi*ZZ型AATD患者不会自然产生野生型α-1抗胰蛋白酶（M-AAT）蛋白，因此，若在患者体内检测到M-AAT蛋白，便可确认突变型Z-AAT的mRNA成功编辑。此外，若患者恢复至50%的M-AAT蛋白水平，将与“MZ”杂合子基因型相符，具较低的AATD相关肺病和肝病风险。分析显示，患者血浆中的野生型M-AAT蛋白在第15天达到平均6.9微摩尔，占总AAT蛋白的60%以上。与体内产生功能性M-AAT蛋白的结果一致，患者体内中性粒细胞弹性蛋白酶的抑制与基线相较增加。基线时未能检测到患者体内的AAT蛋白，而在试验第15天时，患者的平均总AAT蛋白水平达到10.8微摩尔，达到了监管机构批准AAT增强疗法的标准。此外，早在试验第3天，患者的总AAT和M-AAT蛋白水平即较基线增加，并持续到第57天。目前，WVE-006展现出良好的耐受性和安全性。在RestorAATion-2试验及健康志愿者参与的RestorAATion-1试验中，所有不良事件均为轻度至中度，且未报告任何严重不良事件。 WVE-006是一款通过PN化学修饰和GalNAc偶联，以皮下注射方式给药的潜在“first-in-class”RNA编辑寡核苷酸疗法，由Wave寡核苷酸化学平台开发。该平台具备将腺嘌呤编辑为肌苷（A至I）的能力（即AIMer）。WVE-006的设计旨在修复SERPINA1等位基因编码mRNA中的单碱基突变，从而恢复血液中的功能性野生型AAT蛋白，同时减少异常Z-AAT蛋白的存在，以潜在治疗AATD相关的肺病和/或肝病。Wave公司在2022年与GSK达成了一项为期四年的研发合作协议，授予GSK WVE-006的全球独家许可。在Wave完成RestorAATion-2研究后，开发和商业化责任将由GSK接手。 Wave还在通过该公司的"edit-verse"平台，针对多个关键医疗需求积极推进一系列RNA编辑疗法。该平台结合了遗传数据集和先进的深度学习模型，以识别和靶向新的RNA编辑靶点。而除了Wave，于2020年成立的Ascidian Therapeutics也专注于RNA编辑疗法的开发。该公司的RNA外显子编辑平台结合了先进计算机生物学与高通量分子生物学筛选技术，可设计出一种创新的RNA分子。该公司进展最快的研发项目是针对Stargardt病和其他ABCA4相关视网膜病的在研疗法ACDN-01，该疗法的IND申请在今年1月获得美国FDA的许可，并被授予快速通道资格。新闻稿指出，ACDN-01是首个获美国FDA许可进入临床试验的RNA外显子编辑疗法，并且是首款专门针对Stargardt病遗传起源的临床期治疗方法。该公司同时在今年6月与罗氏（Roche）达成一项总额高达约18亿美元的研究合作与许可协议，将共同发现和开发针对神经疾病的RNA外显子编辑疗法。此外，AIRNA公司也在今年7月成功完成6000万美元融资。AIRNA通过其RESTORE+平台开发药物，该平台优化寡核苷酸序列、化学和递送，以实现精确、高效和安全的RNA编辑。该公司的首个候选药物是一种潜在“best-in-class”的AATD疗法。而Amber Bio公司则在去年8月走出隐匿模式，并获得超额认购的2600万美元种子轮融资。根据公司官网，Amber Bio的基于人工智能专有平台具潜力对数千个不同突变进行RNA编辑，可以重写长达数千碱基对的RNA片段，扩大治疗疾病的范围。与现有基因编辑疗法每次仅针对单一突变进行治疗不同的是，Amber Bio的候选药物原则上可以靶向同一个基因的几千个突变，因此具治疗因多种突变所引起疾病患者的潜力。同月，ADARx Pharmaceuticals也宣布成功完成超额认购的2亿美元C轮融资。ADARx正在开发一种不受限于治疗模式的RNA靶向平台，包括用于抑制、降解和编辑寡核苷酸的技术平台，以及新型寡核苷酸递送技术。参考资料： [1] Wave Life Sciences Announces First-Ever Therapeutic RNA Editing in Humans Achieved in RestorAATion-2 Trial of WVE-006 in Alpha-1 Antitrypsin Deficiency. Retrieved October 16, 2024 from https://www.globenewswire.com/news-release/2024/10/16/2964053/0/en/Wave-Life-Sciences-Announces-First-Ever-Therapeutic-RNA-Editing-in-Humans-Achieved-in-RestorAATion-2-Trial-of-WVE-006-in-Alpha-1-Antitrypsin-Deficiency.html 内容来源于网络，如有侵权，请联系删除。

信使RNA寡核苷酸临床结果基因疗法

100 项与 Alpha-antitrypsin(PPL Therapeutics Plc) 相关的药物交易

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外链

KEGG	Wiki	ATC	Drug Bank
-	-	-	DB05481

研发状态

10 条进展最快的记录,

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适应症	最高研发状态	国家/地区	公司	日期
α1-抗胰蛋白酶缺乏症	临床2期	-	Bayer AG	-
α1-抗胰蛋白酶缺乏症	临床2期	-	PPL Therapeutics Plc	-
囊性纤维化	临床2期	-	Bayer AG	-
囊性纤维化	临床2期	-	PPL Therapeutics Plc	-
成人呼吸窘迫综合征	临床2期	-	PPL Therapeutics Plc	-
成人呼吸窘迫综合征	临床2期	-	Bayer AG	-

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临床结果

适应症

分期

评价

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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


P219 (EBMT2023)	N/A	类固醇难治性移植物抗宿主病	-	Alpha-1-antitrypsin	廠鏇鏇襯齋壓積簾遞顧(齋遞艱製構範觸鬱繭窪) = The most frequent infection was cytomegalovirus reactivation (viremia) and occurred in all patients 膚鹽鹽繭憲範壓鹹構獵 (蓋網積壓膚衊衊簾顧鑰 )	积极	2023-04-23
ERS2021	N/A	慢性阻塞性肺疾病 PiZZ	-	alpha-1-antitrypsin	壓夢衊觸遞構獵觸構獵(範製範襯醖網鹽憲鏇窪) = 廠襯範積餘範築遞憲蓋鹹鹽積鹽繭糧鑰鏇簾醖 (築鹽窪遞鬱顧鬱構廠壓 )	-	2021-09-05
				emphysema PiZZ patients without AAT augmentation therapy	壓夢衊觸遞構獵觸構獵(範製範襯醖網鹽憲鏇窪) = 簾鏇糧簾選獵餘範襯壓鹹鹽積鹽繭糧鑰鏇簾醖 (築鹽窪遞鬱顧鬱構廠壓 )
EULAR2017	N/A	肉芽肿伴多血管炎 α-1-antitrypsin (AAT) \| proteinase 3 (PR3)	72	Alpha-1-Antitrypsin (Z allele carriers)	糧鏇淵簾齋觸顧簾糧憲(窪餘鬱鑰廠襯憲範窪淵) = 鏇鬱網網鹽憲衊膚顧網網製獵簾憲構選壓憲獵 (範憲窪鬱艱糧繭餘齋壓 ) 更多	-	2017-06-14
				Alpha-1-Antitrypsin (Non-Z allele carriers)	糧鏇淵簾齋觸顧簾糧憲(窪餘鬱鑰廠襯憲範窪淵) = 鏇襯鹽壓窪襯繭襯夢襯網製獵簾憲構選壓憲獵 (範憲窪鬱艱糧繭餘齋壓 ) 更多
ERS2011	N/A	气肿 PiZ \| PiSZ	-	alpha-1-antitrypsin	遞鏇夢膚鏇廠艱築憲選(糧製夢蓋觸艱鑰鹹艱鑰) = 壓廠繭繭鹹構廠網憲襯餘窪窪構構網齋願鏇艱 (蓋憲憲蓋鬱蓋衊鏇繭鏇 )	-	2011-09-01
				alpha-1-antitrypsin	遞鏇夢膚鏇廠艱築憲選(糧製夢蓋觸艱鑰鹹艱鑰) = 襯餘衊積醖顧鏇鑰網廠餘窪窪構構網齋願鏇艱 (蓋憲憲蓋鬱蓋衊鏇繭鏇 )