An Open-label, Single-arm Study to Provide Continued Access to Study Drug to Participants Who Have Completed Pediatric Clinical Studies Involving Gilead HIV Treatments

The goal of this clinical study is to provide continued access to the study drug(s) to children and adolescents with human immunodeficiency virus type 1 (HIV-1) who completed their participation in an applicable parent study and to monitor for adverse events.
The primary objectives of this study are as follows:
* To provide continued access to the study drug received in the parent protocol or switch to bictegravir/emtricitabine/tenofovir (B/F/TAF) for participants who completed a Gilead parent study evaluating drugs for HIV treatment.
* To evaluate the safety of the study drug(s) in participants with HIV-1.

开始日期2024-08-27

申办/合作机构

Gilead Sciences, Inc.

NCT04452565 / Unknown status临床2/3期

Randomized Controlled Phase 2/3 Clinical Trial of NA-831 Alone or With Atazanavir, or NA-831 With Dexamethasone, or Atazanavir With Dexamethasone in the Treatment of COVID-19 Infection

This Phase 2/3 trial evaluates four treatment strategies for non-critically ill hospitalized participants (not requiring ICU admission and/or mechanical ventilation) with SARS CoV-2 infection, in which participants will receive NA-831 or Atazanavir with or without Dexamethasone.

开始日期2022-06-15

申办/合作机构

NeuroActiva, Inc.

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100 项与硫酸阿扎那韦相关的临床结果

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100 项与硫酸阿扎那韦相关的转化医学

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100 项与硫酸阿扎那韦相关的专利（医药）

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项与硫酸阿扎那韦相关的文献（医药）

2025-01-01·JOURNAL OF PHARMACEUTICAL SCIENCES

Impact of dissolution medium pH and ionization state of the drug on the release performance of amorphous solid dispersions

Article

作者: Alex, Samantha ; Indulkar, Anura S. ; Zhang, Geoff G.Z. ; Indulkar, Anura S ; Zhang, Geoff G Z

Amorphous solid dispersions (ASDs) are widely employed as a strategy to improve oral bioavailability of poorly water soluble compounds. Typically, optimal dissolution performance from a polyvinylpyrrolidone vinyl acetate (PVPVA) based ASD is observed at relatively low drug loading limit. Above a certain drug load, termed limit of congruency (LoC), the release from ASDs significantly decreases. So far, the majority of the dissolution behavior has been tested in conditions where the drug primarily exists in unionized form. In this work, the impact of pH of the dissolution environment on the release performance of ASDs of an ionizable drug was studied. Atazanavir (ATZ), a weakly basic drug with a pK_a of 4.5 was used as a model compound and PVPVA was used as a non-ionizable matrix polymer. Dissolution rate was measured using Wood's apparatus which normalizes the surface area of the dissolving tablet. The pH of the dissolution media was varied between 1 and 6.8, to cover a range where ATZ exists as >99 % ionized or unionized species. At pH 6.8, near complete release was observed only when the drug load was ≤ 6 %. Unlike typically observed drastic decline in release behavior for PVPVA based ASDs above LoC, ATZ ASDs underwent gradual decline in dissolution behavior when the DL was increased to 8 %. This was attributed to potential formation of an ATZ-PVPVA associated phase with dissolution rate slower than neat PVPVA. However, the 10 % DL ASD showed negligible ATZ release. On another extreme (pH 1) where ATZ is ∼100 % ionized, the dissolution rate of ATZ was faster than that of PVPVA. ASD dissolution rate was found to be slower than that of the neat drug but faster than PVPVA and interestingly, did not change with DL. This can be attributed to formation of an ionized ATZ-PVPVA phase which controls the dissolution rate of the ASD. At pH 3, where the drug is ∼97 % ionized, near complete release was observed for drug loads ≤ 8 %. To observe significant increase in drug loading with near complete release, >98 % ionization of ATZ was required. At pH 2 where ATZ is ∼99.7 % ionized, near complete release was observed for drug loads up to 30 %. Furthermore, the deterioration in dissolution performance with an increase in drug load continued to be gradual at pH 2. The enhancement in dissolution performance did not correlate with solubility enhancement of ATZ due to ionization. We theorize that the enhancement in the dissolution performance due to ionization is the result of formation of an ionized ATZ-PVPVA phase which increases the hydrophilicity and the miscibility of the ASD. This can help resist water induced phase separation during ASD dissolution and therefore, result in continuous, and congruent dissolution of the drug and polymer.

2025-01-01·JOURNAL OF PHARMACEUTICAL SCIENCES

Dissolution, phase behavior and mass transport of amorphous solid dispersions in aspirated human intestinal fluids

Article

作者: Elkhabaz, Ahmed ; Taylor, Lynne S ; Augustijns, Patrick ; Moseson, Dana E ; Taylor, Lynne S. ; Brouwers, Joachim ; Moseson, Dana E.

Amorphous solid dispersions (ASDs) typically show improved dissolution and generate supersaturated solutions, enhancing the oral bioavailability of poorly soluble drugs. To gain insights into intraluminal ASD behavior, we utilized two poorly soluble drugs with different crystallization tendencies, atazanavir and posaconazole, prepared as ASDs at a 10% drug loading with hydroxypropyl methylcellulose acetyl succinate (HPMCAS). We evaluated their release in aspirated fasted-state human intestinal fluid (FaHIF), and multi-component fasted-state simulated intestinal fluid (composite-FaSSIF), characterizing the supersaturation profiles and drug-rich nanodroplets that formed. Complete release was observed for atazanavir ASDs over a 90 min period. Flux for dissolved atazanavir ASDs remained high over the experimental time period of 3 h. In contrast, posaconazole solution concentrations were initially high and then decreased. Likewise, flux was initially high and then decreased where these changes are attributed to crystallization of the drug. Generation of spherical nano-sized amorphous droplets of ∼100-150 nm was found to occur in ex vivo FaHIF media for both ASDs, maximizing the diffusive flux during the supersaturation window. Moreover, buffer capacity differences were postulated to influence release rates of ASDs in simulated vs aspirated fluids. Importantly, the solution phase phenomena observed during ASD release in simulated fluids, namely amorphous nanodroplet formation and drug crystallization, were also found to occur in aspirated luminal fluids.

2024-12-31·JOURNAL OF MEDICAL ECONOMICS

Cost-effectiveness analysis of mosunetuzumab for treatment of relapsed or refractory follicular lymphoma after two or more lines of systemic therapy in the United States

Article

作者: Sanchez Alvarez, Javier ; Lin, Shih-Wen ; Parisé, Hélène ; Di Maio, Danilo ; Zuk, Eric ; Matasar, Matthew ; Kim, Eunice ; Shapouri, Sheila

AIMS:

Mosunetuzumab has received accelerated approval by the US Food and Drug Administration for adult patients with relapsed or refractory (R/R) follicular lymphoma (FL) after two or more lines of systemic therapy. We evaluated the cost-effectiveness of mosunetuzumab for the treatment of R/R FL from a US private payer perspective.

MATERIALS AND METHODS:

A partitioned survival model simulated lifetime costs and outcomes of mosunetuzumab against seven comparators: axicabtagene ciloleucel (axi-cel), tisagenlecleucel (tisa-cel), tazemetostat (taz, EZH2 wild-type only), rituximab plus lenalidomide (R-Len) or bendamustine (R-Benda), obinutuzumab plus bendamustine (O-Benda), and a retrospective real-world cohort (RW) based on current patterns of care derived from US electronic health records (Flatiron Health). Efficacy data for mosunetuzumab were from the pivotal Phase II GO29781 trial (NCT02500407). Relative treatment efficacy was estimated from indirect treatment comparisons (ITCs). Costs included were related to treatment, adverse events, routine care, and terminal care. Except for drug costs (March 2023), all costs were inflated to 2022 US dollars. Costs and quality-adjusted life-years (QALYs) were used to calculate incremental cost-effectiveness ratios (ICERs). Net monetary benefit (NMB) was calculated using a willingness-to-pay (WTP) threshold of $150,000/QALY.

RESULTS:

Mosunetuzumab dominated taz, tisa-cel, and axi-cel with greater QALYs and lower costs. Mosunetuzumab was projected to be cost-effective against R-Benda, O-Benda, and RW with ICERs of $78,607, $42,731, and $21,434, respectively. Mosunetuzumab incurred lower costs but lower QALYs vs. R-Len. NMBs showed that mosunetuzumab was cost-effective against comparators except R-Len.

LIMITATIONS:

Without head-to-head comparative data, the model had to rely on ITCs, some of which were affected by residual bias. Model inputs were obtained from multiple sources. Extensive sensitivity analyses assessed the importance of these uncertainties.

CONCLUSION:

Mosunetuzumab is estimated to be cost-effective compared with approved regimens except R-Len for the treatment of adults with R/R FL.

项与硫酸阿扎那韦相关的新闻（医药）

2024-12-06

·艾美达医药咨询

01 行业新闻丨阿斯利康中国高管团队全面调整 12月4日，阿斯利康中国官网发布消息，阿斯利康任命Iskra Reic为全球执行副总裁、国际业务负责人，全面负责包括中国、亚洲和欧亚市场、中东和非洲、拉丁美洲、澳大利亚和新西兰在内的地区整体战略。此外，阿斯利康中国管理团队多位高管职务发生变动。林骁由阿斯利康中国生物制药业务总经理、呼吸吸入和生物制剂事业部负责人、香港及澳门地区负责人变更为阿斯利康中国总经理，阿斯利康中国生物制药业务总经理；刘谦由阿斯利康中国全渠道事业部总经理变更为阿斯利康中国呼吸消化事业部总经理；关冬梅由阿斯利康中国副总裁-心血管、肾脏及代谢事业部，变更为阿斯利康中国肿瘤业务总经理；谈俊萍由阿斯利康中国副总裁-合规部，变更为阿斯利康中国副总裁-道德和风控部。 02 企业动态丨先声药业脑卒中创新药获批上市 12月2日，先声药业宣布，脑卒中创新药先必新®舌下片（通用名：依达拉奉右莰醇舌下片）于12月1日获国家药品监督管理局批准上市（批准文号：国药准字H20240041），用于改善急性缺血性脑卒中所致的神经症状、日常生活活动能力和功能障碍。临床研究表明，先必新®舌下片能够显著减少急性缺血性卒中导致的脑细胞损伤。2024年8月，先必新®舌下片获美国食品药品监督管理局（FDA）“突破性疗法”认定，是全球脑卒中治疗领域首个获得该认定的创新药，也是中国神经科学领域首个获得该认定的创新药。（先声药业）丨帕金森病治疗新药沙芬酰胺在中国获批 12月2日，中国国家药监局（NMPA）官网公示，由赞邦（Zambon）公司申报的5.1类新药沙芬酰胺片的上市申请已获得批准。公开资料显示，沙芬酰胺（safinamide）是一款用于治疗帕金森病的新化学实体，已经于2017年获得美国FDA批准，针对出现“关闭期”发作的帕金森病患者。根据中国药物临床试验登记与信息公示平台信息，沙芬酰胺作为辅助治疗特发性帕金森病的中国3期临床研究已完成。该研究旨在评价沙芬酰胺作为辅助疗法，用于接受稳定剂量的左旋多巴治疗的、出现运动波动的中国特发性帕金森病患者的疗效。（NMPA、赞邦）丨默沙东抗生素组合新药在中国获批上市 12月2日，NMPA官网最新公示，默沙东（MSD）申报的注射用亚西瑞来新药上市申请已获得批准。公开资料显示，这是一款抗生素组合注射用亚西瑞来（亚胺培南500mg+西司他丁500mg+瑞来巴坦250mg，商品名为Recarbrio）。根据该产品在中国的临床研究进度推测，该药本次获批的适应症可能为治疗医院获得性细菌性肺炎和呼吸机相关细菌性肺炎（HABP/VABP）。在中国，根据药物临床试验登记与信息公示平台，默沙东已经完成了一项国际多中心（含中国）3期、随机、双盲临床试验，在HABP/VABP受试者中比较亚西瑞来和哌拉西林+他唑巴坦（PIP/TAZ）的安全性、耐受性和疗效。（默沙东）丨银诺医药在港交所递交IPO申请 12月3日，港交所官网公示，银诺医药已经在港交所递交了IPO申请。银诺医药成立于2014年，致力于研发治疗糖尿病和其他代谢性疾病的创新疗法。该公司的长效GLP-1受体激动剂依苏帕格鲁肽α有望即将进入商业化阶段，用于治疗2型糖尿病的单药疗法及与二甲双胍的联合用药均已在中国递交上市申请。除了依苏帕格鲁肽α，银诺医药还有5款处于IND待启动阶段的候选药物。银诺医药的核心产品依苏帕格鲁肽α是该公司自主研发的人源长效GLP-1受体激动剂，旨在用于治疗2型糖尿病（T2D）和其他代谢性疾病。（银诺医药）丨锦篮基因GC101腺相关病毒注射液拟纳入突破性治疗品种 12月3日，国家药品监督管理局药品审评中心（CDE）官网消息显示，锦篮基因申报的GC101腺相关病毒注射液拟纳入突破性治疗品种，用于治疗2型脊髓性肌萎缩症（5q SMA）。根据锦篮基因公开资料介绍，GC101腺相关病毒注射液一种携带正常SMN1基因表达单元的重组9型腺相关病毒载体（rAAV9），通过鞘内注射方式一次性给药，使SMN1基因在运动神经元细胞表达，从而改善运动神经元等受累细胞的功能，辅以呼吸及运动康复训练，可以改善提高SMA患者呼吸能力及运动能力。（CDE、锦篮基因）丨杰科生物JL15003注射液拟纳入突破性治疗品种 12月3日，CDE官网消息显示，杰科生物申报的JL15003注射液拟纳入突破性治疗品种，用于治疗复发胶质母细胞瘤。根据杰科生物公开资料，JL15003为溶瘤病毒产品，也是公司首个获批临床的1类新药。该产品目前正处于1期临床研究阶段，评价其治疗复发胶质母细胞瘤患者的安全性和耐受性。利用自然界中致病力较弱的病毒进行基因工程改造，让它们失去毒性并保留病毒的复制能力，再将溶瘤病毒注射入肿瘤病灶内，使其在肿瘤细胞内自我复制，随后裂解肿瘤细胞，这就是溶瘤病毒免疫疗法。（CDE，杰科生物）丨映恩生物创新临床前ADC药物授权GSK 12月4日，映恩生物宣布与葛兰素史克（GSK）已就一项抗体偶联药物（ADC）DB-1324达成独家授权协议。根据协议，GSK将获得全球（不包括中国大陆、香港地区和澳门地区）的独家授权，以推进该ADC药物的研发与商业化进程。根据协议条款，GSK将预先支付3000万美元预付款及其他行权前里程碑付款以获得在全球范围内（中国大陆、香港地区和澳门地区除外）推进DB-1324研发和商业化的独家授权许可。如果GSK行使许可权，映恩生物将收取行权费以及后续在开发、法规注册和商业化不同阶段的里程碑付款，最高可达9.75亿美元。（映恩生物）丨恒瑞医药ADC新药拟纳入突破性治疗品种 12月4日，CDE官网公示，恒瑞医药1类新药注射用SHR-A2102拟纳入突破性治疗品种，适应症为单药治疗既往含铂化疗和PD-(L)1抑制剂治疗失败的局部晚期或转移性尿路上皮癌。SHR-A2102是恒瑞医药自主研发的靶向Nectin-4的抗体偶联药物（ADC）。该药治疗晚期尿路上皮癌此前已经被美国FDA授予快速通道资格。SHR-A2102为一款靶向Nectin-4的ADC，其有效载荷是拓扑异构酶抑制剂（TOPi）。此前，该产品用于治疗晚期实体瘤的临床试验申请已获得FDA许可。（恒瑞医药）丨和黄医药赛沃替尼肺癌联合疗法拟纳入突破性治疗品种 12月4日，CDE官网最新公示，和黄医药申报的1类新药赛沃替尼片拟纳入突破性治疗品种，适应症为赛沃替尼联合奥希替尼治疗经EGFR-TKI治疗失败伴MET扩增的局部晚期或转移性非小细胞肺癌。公开资料显示，奥希替尼是一种不可逆的第三代EGFR-TKI；赛沃替尼片是一种强效、高选择性的口服间充质上皮转化因子 (MET) TKI。赛沃替尼是一种强效、高选择性的口服MET TKI，由阿斯利康（AstraZeneca）与和黄医药联合开发，并由阿斯利康负责商业化。（和黄医药）丨阿斯利康“ADC+双抗”联合疗法在中国获批临床 12月5日，CDE官网最新公示显示，由阿斯利康（AstraZeneca）申报的AZD2936和DS-8201a两款新药同时获得临床试验默示许可，适应症为局部晚期或转移性HER2表达胆道癌患者的一线治疗。DS-8201a（即注射用德曲妥珠单抗，Enhertu）是阿斯利康和第一三共联合开发的靶向HER2的抗体偶联药物（ADC）；AZD2936（rilvegostomig）是一款靶向PD-1/TIGIT的双特异性抗体。阿斯利康正在全球范围内开展3期临床研究（DESTINY-BTC01），探索Enhertu + rilvegostomig联合疗法一线治疗HER2阳性胆道癌。这也正是该联合疗法在中国获批临床的适应症。（阿斯利康）丨再鼎医药银屑病1类新药首次在中国获批临床 12月5日，CDE官网公示，再鼎医药申报的1类新药ZL-1102凝胶获得临床试验默示许可，拟开发用于局部治疗慢性斑块状银屑病。根据再鼎医药公开资料，ZL-1102是一款靶向作用于IL-17A细胞因子的新型全人源VH抗体片段（Humabody），为该公司内部开发的新药。与其他针对中重度慢性斑块状银屑病的全身型IL-17抑制剂不同，ZL-1102的独特之处在于被开发用于治疗轻中度慢性斑块状银屑病。目前ZL-1102凝胶已经在澳大利亚内启动2期临床研究。（再鼎医药）丨辉瑞泛KRAS抑制剂癌症新药首次在中国申报临床 12月5日，CDE官网公示，辉瑞1类新药PF-07934040片临床试验申请获得受理。公开资料显示，这是辉瑞公司在研的一款泛KRAS抑制剂，正在国际范围内开展1期临床。本次是该产品首次在中国申报IND。KRAS是最早发现的癌症基因之一，其突变在癌症患者中很常见。在发现KRAS G12C抑制剂之后，目前科学家们已经将目标转向其它KRAS突变体，旨在开发出能够靶向多种、甚至全部KRAS突变体的泛KRAS（pan-KRAS）靶向疗法，为携带KRAS突变的诸多癌症类型提供治疗选择。（辉瑞）丨宜明昂科公布双抗癌症新药1期临床结果 12月6日，宜明昂科宣布，阿沐瑞芙普α（IMM0306）针对淋巴瘤临床1期试验数据全文被Journal of Hematology & Oncology期刊接受。阿沐瑞芙普α是一款CD47xCD20双靶点特异性分子。数据显示，在25例疗效可评估的R/R滤泡性淋巴瘤（FL）患者中，总体缓解率(ORR)和完全缓解率(CRR)分别是84.0%和40.0%；2例疗效可评估的R/R边缘区淋巴瘤（MZL）患者ORR为100%。（宜明昂科） *声明：本文不构成任何投资建议，仅出于传递更多信息之目的。 ------------------------------ 「长按」二维码添加小达「进群」与更多行业伙伴共探市场前沿资讯艾美达医药咨询艾美达（北京）医药信息咨询有限公司，成立于2014年4月，是一家专业的医药行业咨询服务提供商。公司致力于将产业政策研究与真实世界的数据挖掘深度结合，洞悉行业政策对市场的影响，通过专业的研究提供前瞻性的市场分析，为企业产品上市后的市场准入提供整体解决方案。

突破性疗法高管变更上市批准

2024-12-02

·医药观澜

默沙东抗生素组合新药在中国获批上市

▎药明康德内容团队报道今日（12月2日），中国国家药监局（NMPA）官网最新公示，默沙东（MSD）申报的注射用亚西瑞来新药上市申请已获得批准。公开资料显示，这是一款抗生素组合注射用亚西瑞来（亚胺培南500mg+西司他丁500mg+瑞来巴坦250mg，商品名为Recarbrio）。根据该产品在中国的临床研究进度推测，该药本次获批的适应症可能为治疗医院获得性细菌性肺炎和呼吸机相关细菌性肺炎（HABP/VABP）。截图来源：NMPA官网亚西瑞来是亚胺培南、西司他丁和瑞来巴坦的复方制剂。其中，亚胺培南是一款获批β-内酰胺类抗生素，西司他丁可防止亚胺培南被肾脏分解，瑞来巴坦是一种二氮杂双环辛烷β-内酰胺酶抑制剂，具有广谱抗β-内酰胺酶活性。虽然β-内酰胺酶抑制剂本身没有抗生素活性，但它可以增强β-内酰胺类抗生素的活性。 2019年7月，亚西瑞来首次在美国获批上市，商品名为Recarbrio，治疗由特定敏感革兰氏阴性菌导致的复杂性尿路感染（cUTI）和复杂性腹腔内感染（cIAI）。2020年6月，亚西瑞来获美国FDA批准扩展适应症，治疗18岁以上的HABP/VABP患者。该产品曾经获得FDA授予的合格传染病产品（QIDP），快速通道和优先审评资格。在中国，根据药物临床试验登记与信息公示平台，默沙东已经完成了一项国际多中心（含中国）3期、随机、双盲临床试验，在HABP/VABP受试者中比较亚西瑞来和哌拉西林+他唑巴坦（PIP/TAZ）的安全性、耐受性和疗效。 Recarbrio在美国获批治疗HABP/VABP是基于一项关键的3期RESTORE-IMI 2试验的结果。在这项试验中，264名患者接受Recarbrio的治疗，267名患者接受哌拉西林+他唑巴坦（PIP/TAZ）治疗。该研究达到了主要和关键次要终点。在接受治疗28天内，15.9%接受Recarbrio治疗的患者死亡，接受哌拉西林+他唑巴坦治疗的患者死亡率为21.3%。 HABP/VABP是肺炎的一种，多发生于住院患者，可引起发热、寒战、咳嗽、胸痛和需氧量增加等症状。由于抗生素的过多使用，很多导致HABP和VABP的细菌对已有抗生素产生耐药性。因此患者需要新的抗生素来控制细菌感染。期待亚西瑞来此次在中国的获批能够尽快让中国的严重细菌感染患者获得安全有效的新疗法。参考资料： [1] 2024年12月02日药品批准证明文件送达信息. From https://www.nmpa.gov.cn/zwfw/sdxx/sdxxyp/yppjfb/20241202104249182.html [2] FDA Approves Merck’s RECARBRIO™ (imipenem, cilastatin, and relebactam) for the Treatment of Adults with Hospital-Acquired and Ventilator-Associated Bacterial Pneumonia (HABP/VABP). Retrieved Jun 5, 2024, from https://www.businesswire.com/news/home/20200605005187/en/ [3] 药物临床试验登记与信息公示平台. From http://www.chinadrugtrials.org.cn/clinicaltrials.searchlist.dhtml 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。转载授权及其他合作需求，请联系wuxi_media@wuxiapptec.com。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。

优先审批临床3期快速通道临床结果合格传染病产品

2024-11-06

·GlobeNewswire-Health Care

Denali Therapeutics Reports Third Quarter 2024 Financial Results and Business Highlights

SOUTH SAN FRANCISCO, Calif., Nov. 06, 2024 (GLOBE NEWSWIRE) -- Denali Therapeutics Inc. (Nasdaq: DNLI) today reported financial results for the third quarter ended September 30, 2024, and provided business highlights. "As leaders in pioneering a new class of therapeutics that cross the blood-brain barrier, we are making significant progress across our Transport Vehicle (TV)-enabled portfolio,” said Ryan Watts, Ph.D., Chief Executive Officer of Denali Therapeutics. “Within our Enzyme TV (ETV) franchise, we are on track to file for accelerated approval of tividenofusp alfa in MPS II in early 2025 after a successful meeting with the FDA in the third quarter. Today, we are also pleased to share that preliminary data from our Phase 1/2 study of DNL126 in MPS IIIA demonstrate a robust reduction from baseline in CSF heparan sulfate levels, including normalization. Based on these data and a positive regulatory environment, we recently expanded the study to support a potential accelerated path. In addition, our recent preclinical publication on our oligonucleotide TV (OTV) technology in Science Translational Medicine, which describes broad and deep brain biodistribution of oligonucleotides following systemic administration of OTV, demonstrates the power and potential of our TV platform to transform the way we treat brain diseases.” Third Quarter 2024 and Recent Program Updates Late-stage and mid-stage clinical programs Tividenofusp alfa (DNL310): Enzyme Transport Vehicle (ETV)-enabled, iduronate-2-sulfatase (IDS) replacement therapy in development for MPS II (Hunter syndrome) In September, announced the outcome of a successful meeting with the Center for Drug Evaluation and Research (CDER) of the U.S. Food and Drug Administration (FDA) providing a path to filing a biologics license application (BLA) for accelerated approval and subsequent conversion to full approval for tividenofusp alfa (DNL310) for the treatment of MPS II. Agreement was reached that cerebrospinal fluid heparan sulfate (CSF HS) is reasonably likely to predict clinical benefit and can be used as a surrogate endpoint to support accelerated approval for tividenofusp alfa in MPS II. Denali intends to submit the BLA under the accelerated approval pathway in early 2025.In September, presented new interim data from the Phase 1/2 study at the Society for the Study of Inborn Errors of Metabolism (SSIEM 2024), including data from additional study participants (N=37) and longer duration of treatment with tividenofusp alfa (up to Week 129) as well as new analyses on biomarkers and clinical outcomes.COMPASS, the global Phase 2/3 study, is expected to complete enrollment in 2024. DNL343: eIF2B activator in development for the treatment of amyotrophic lateral sclerosis (ALS) DNL343 is being evaluated in Regimen G (DNL343) of the Phase 2/3 HEALEY ALS Platform Trial conducted by the Sean M. Healey & AMG Center for ALS at Massachusetts General Hospital (MGH) in collaboration with the Northeast ALS Consortium (NEALS). Enrollment in Regimen G is complete. SAR443820/DNL788: CNS-penetrant RIPK1 inhibitor In October, Denali was informed by its strategic partner Sanofi that the K2 Phase 2 study evaluating the safety and efficacy of oditrasertib (SAR443820/DNL788) on serum neurofilament light chain levels in participants with multiple sclerosis was discontinued based on not meeting the primary and key secondary endpoints. BIIB122/DNL151: LRRK2 inhibitor in development for the treatment of Parkinson’s disease (PD) Biogen is conducting the ongoing global Phase 2b LUMA study of BIIB122 in participants with early-stage Parkinson’s disease.Denali has initiated screening of participants for the global Phase 2a study to evaluate safety and biomarkers associated with BIIB122 in participants with Parkinson’s disease and confirmed pathogenic variants of LRRK2. This study is being funded under the Collaboration and Development Funding Agreement with a third party. Eclitasertib (SAR443122/DNL758): Peripheral RIPK1 inhibitor in development for the treatment of ulcerative colitis (UC) Sanofi is conducting the ongoing Phase 2 study of SAR443122/DNL758 in participants with UC. Early-stage clinical and preclinical programs DNL126: ETV-enabled N-sulfoglucosamine sulfohydrolase (SGSH) replacement therapy in development for the treatment of MPS IIIA (Sanfilippo syndrome Type A) Denali today announced that preliminary data from up to 25 weeks of dosing in the ongoing open-label Phase 1/2 study in MPS IIIA participants demonstrate a significant reduction in CSF HS levels from baseline, including normalization. The safety profile supports continued development. The most frequent treatment emergent adverse events were infusion related reactions of mild and moderate severity in all participants. There was one serious adverse event considered by the investigator not related to drug. Denali plans to present the data at a future medical meeting.Based on the preliminary Phase 1/2 results and a positive regulatory environment, Denali recently expanded the study and continues to assess the development plans including an accelerated approval path.DNL126 was selected in June 2024 for the FDA's Support for clinical Trials Advancing Rare disease Therapeutics (START) program to accelerate the development of rare disease therapeutics, and collaborative engagement has commenced to support progress to a pre-BLA meeting. TAK-594/DNL593: Protein Transport Vehicle (PTV)-enabled progranulin (PGRN) replacement therapy in development for the treatment of frontotemporal dementia-granulin (FTD-GRN) Screening of participants for Cohort B2 in the Phase 1/2 study is ongoing. Oligonucleotide Transport Vehicle (OTV) platform Denali is advancing OTV:MAPT, targeting tau for Alzheimer’s disease, and OTV:SNCA, targeting alpha-synuclein for Parkinson’s disease, in the investigational new drug (IND)-enabling stage of development.In August, announced publication of nonclinical data in the August 14, 2024 issue of Science Translational Medicine (link) demonstrating the ability of the OTV platform to achieve broad biodistribution of antisense oligonucleotides (ASOs) in the central nervous system and skeletal and cardiac muscle following intravenous administration. Antibody Transport Vehicle Amyloid beta (ATV:Abeta) program Denali is working to develop the next generation of anti-amyloid beta therapeutics with ATV:Abeta, which is designed to increase exposure of the therapeutic antibody and achieve broad biodistribution in the brain with the potential for improved efficacy and safety. Preclinical data demonstrated potential for a wider therapeutic window compared to a standard antibody, with superior plaque decoration and reduction and very low rates of amyloid related imaging abnormalities (ARIA). These data are included in a manuscript posted on bioRxiv (link).Denali plans to advance a TfR-targeting ATV:Abeta molecule as well as a CD98hc-targeting ATV:Abeta molecule into development for Alzheimer's disease. Discovery programs Denali applies its deep scientific expertise in neurodegeneration biology and the BBB to discover and develop medicines and platforms with the focus on programs enabled by the TV technology and targeting neurodegenerative disease, including Alzheimer’s and Parkinson’s, and lysosomal storage diseases. 2024 Guidance on Operating Expenses Cash, cash equivalents, and marketable securities were approximately $1.28 billion as of September 30, 2024. Denali is providing updated guidance on cash operating expenses for the full year 2024 and now anticipates an increase of approximately 5-10% compared to 2023, which is an increase from previous guidance of equal to or less than full year 2023 cash operating expenses. This updated guidance is associated with increased activities to support filing of a BLA in early 2025 and commercial readiness for tividenofusp alfa in MPS II, and to accelerate the development of additional therapeutic programs in Denali's TV platform portfolio. Participation in Upcoming Investor Conferences UBS Global Healthcare Conference, November 11-14B. Riley Securities’ Next-Gen Tissue Delivery Modalities Virtual Summit, November 14Stifel 2024 Healthcare Conference, November 18-19Jefferies London Healthcare Conference, November 19-217th Annual Evercore ISI HealthCONx Conference, December 3-5 Third Quarter 2024 Financial Results Net losses were $107.2 million and $99.4 million for the three months ended September 30, 2024 and 2023, respectively. There was no collaboration revenue for the quarter ended September 30, 2024, compared to $1.3 million for the quarter ended September 30, 2023. The decrease in collaboration revenue was primarily due to activities under the Biogen Collaboration Agreement. Total research and development expenses were $98.2 million for the quarter ended September 30, 2024, compared to $89.7 million for the quarter ended September 30, 2023. The increase of approximately $8.5 million for the quarter ended September 30, 2024 was primarily attributable to increases in costs in various clinical stage programs, including ETV:IDS, eIF2B, ETV:SGSH, and LRRK2 reflecting the continued progress of these programs in clinical trials, and increases in TV platform and other program external expenses, reflecting continued investment in TV-enabled product candidates. These increases were partially offset by a decrease in personnel and external expenses associated with the divestiture of Denali’s preclinical small molecule programs. General and administrative expenses were $24.9 million for the quarter ended September 30, 2024, and $25.3 million for the same period in 2023. About Denali Therapeutics Denali Therapeutics is a biopharmaceutical company developing a broad portfolio of product candidates engineered to cross the blood-brain barrier (BBB) for the treatment of neurodegenerative diseases and lysosomal storage diseases. Denali pursues new treatments by rigorously assessing genetically validated targets, engineering delivery across the BBB, and guiding development through biomarkers that demonstrate target and pathway engagement. Denali is based in South San Francisco. For additional information, please visit www.denalitherapeutics.com. Cautionary Note Regarding Forward-Looking Statements This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements expressed or implied in this press release include, but are not limited to, statements regarding expectations regarding Denali’s TV technology platform; statements made by Denali’s Chief Executive Officer; plans, timelines, and expectations regarding DNL310 and the ongoing Phase 2/3 COMPASS and Phase 1/2 studies, the timing and likelihood of accelerated approval, and the timing and availability of program updates; plans and timelines regarding DNL343, including the timing and availability of data from the Phase 2/3 HEALEY ALS Platform Trial; plans, timelines, and expectations of both Denali and Sanofi regarding DNL788; plans, timelines, and expectations regarding DNL151, including with respect to the ongoing LUMA study as well as enrollment and timing of the proposed Phase 2a study in PD patients with LRRK2 mutations; expectations regarding DNL758, including the ongoing Phase 2 study in patients with UC; plans, timelines, and expectations related to DNL126, including the timing and availability of data in the ongoing Phase 1/2 study and the timing and likelihood of regulatory approval; plans, timelines, and expectations of both Denali and Takeda regarding DNL593 and the ongoing Phase 1/2 study; plans, timelines, and expectations regarding the advancement of OTV:MAPT and OTV:SNCA towards clinical development; plans, timelines, and expectations regarding the ATV:Abeta program, including its therapeutic potential and the clinical advancement of ATV:Abeta molecules; plans and expectations for Denali's preclinical programs; Denali's future operating expenses and anticipated cash runway; and Denali's participation in upcoming investor conferences. All drugs currently being developed by Denali are investigational and have not received regulatory approval for any indication. Actual results are subject to risks and uncertainties and may differ materially from those indicated by these forward-looking statements as a result of these risks and uncertainties, including but not limited to, risks related to: any and all risks to Denali’s business and operations caused by adverse economic conditions; risk of the occurrence of any event, change, or other circumstance that could give rise to the termination of Denali’s agreements with Sanofi, Takeda, or Biogen, or any of Denali’s other collaboration agreements; Denali’s transition to a late-stage clinical drug development company; Denali’s and its collaborators’ ability to complete the development and, if approved, commercialization of its product candidates; Denali’s and its collaborators’ ability to enroll patients in its ongoing and future clinical trials; Denali’s reliance on third parties for the manufacture and supply of its product candidates for clinical trials; Denali’s dependence on successful development of its blood-brain barrier platform technology and its programs and product candidates; Denali’s and its collaborators' ability to conduct or complete clinical trials on expected timelines; the risk that preclinical profiles of Denali’s product candidates may not translate in clinical trials; the potential for clinical trials to differ from preclinical, early clinical, preliminary or expected results; the risk of significant adverse events, toxicities or other undesirable side effects; the uncertainty that product candidates will receive regulatory approval necessary to be commercialized; Denali’s ability to continue to create a pipeline of product candidates or develop commercially successful products; developments relating to Denali's competitors and its industry, including competing product candidates and therapies; Denali’s ability to obtain, maintain, or protect intellectual property rights related to its product candidates; implementation of Denali’s strategic plans for its business, product candidates, and blood-brain barrier platform technology; Denali's ability to obtain additional capital to finance its operations, as needed; Denali's ability to accurately forecast future financial results in the current environment; and other risks and uncertainties, including those described in Denali's most recent Annual and Quarterly Reports on Forms 10-K and 10-Q filed with the Securities and Exchange Commission (SEC) on February 28, 2024 and August 1, 2024, respectively, and Denali’s future reports to be filed with the SEC. Denali does not undertake any obligation to update or revise any forward-looking statements, to conform these statements to actual results, or to make changes in Denali’s expectations, except as required by law. Denali Therapeutics Inc.Condensed Consolidated Statements of Operations(Unaudited)(In thousands, except share and per share amounts) Three Months Ended September 30, Nine Months Ended September 30, 2024 2023 2024 2023 Collaboration revenue: Collaboration revenue from customers(1)$— $1,267 $— $330,531 Other collaboration revenue — — — — Total collaboration revenue — 1,267 — 330,531 Operating expenses: Research and development(2) 98,238 89,737 296,653 316,073 General and administrative 24,949 25,325 75,379 78,585 Total operating expenses 123,187 115,062 372,032 394,658 Gain from divestiture of small molecule programs — — 14,537 — Loss from operations (123,187) (113,795) (357,495) (64,127)Interest and other income, net 15,995 14,442 49,475 38,376 Net loss$(107,192) $(99,353) $(308,020) $(25,751)Net loss per share, basic and diluted$(0.63) $(0.72) $(1.89) $(0.19)Weighted average number of shares outstanding, basic and diluted 169,456,988 137,644,534 162,589,325 137,076,199 __________________________________________________ (1) Includes related-party collaboration revenue from customers of $1.3 million and $295.5 million for the three and nine months ended September 30, 2023, respectively.(2) Includes expenses for cost sharing payments due to a related party of $3.4 million and $14.5 million for the three and nine months ended September 30, 2023, respectively. Denali Therapeutics Inc.Condensed Consolidated Balance Sheets(Unaudited)(In thousands) September 30, 2024 December 31, 2023Assets Current assets: Cash and cash equivalents$90,636 $127,106Short-term marketable securities 745,923 907,405Prepaid expenses and other current assets 32,280 29,626Total current assets 868,839 1,064,137Long-term marketable securities 445,463 —Property and equipment, net 50,822 45,589Operating lease right-of-use asset 23,717 26,048Finance lease right-of-use asset 38,685 —Other non-current assets 26,487 18,143Total assets$1,454,013 $1,153,917Liabilities and stockholders' equity Current liabilities: Accounts payable$9,594 $9,483Accrued clinical and other research & development costs 23,923 19,035Accrued manufacturing costs 9,568 15,462Accrued compensation 14,874 21,590Operating lease liability, current 8,036 7,260Deferred research and development funding liability, current 16,269 —Other accrued costs and current liabilities 4,829 5,152Total current liabilities 87,093 77,982Operating lease liability, less current portion 38,850 44,981Finance lease liability, less current portion 5,631 —Deferred research funding and development liability, less current portion 3,944 —Total liabilities 135,518 122,963Total stockholders' equity 1,318,495 1,030,954Total liabilities and stockholders’ equity$1,454,013 $1,153,917 Investor Contact:Laura Hansen, Ph.D.Vice President, Investor Relationshansen@dnli.com(650) 452-2747 Media Contact:Rich AllanFGS Global Rich.Allan@fgsglobal.com(503) 851-0807

临床2期财报加速审批

100 项与硫酸阿扎那韦相关的药物交易

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外链

KEGG	Wiki	ATC	Drug Bank
D01276	硫酸阿扎那韦	J05AE08	DB01072

研发状态

批准上市

10 条最早获批的记录,

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适应症	国家/地区	公司	日期
HIV感染	美国	Bristol Myers Squibb Co.	2003-06-20

未上市

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
高脂血症	临床3期	美国	Bristol Myers Squibb Co.	2004-01-01
病毒血症	临床3期	美国	Bristol Myers Squibb Co.	2004-01-01

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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


NCT01620944 (CTgov)	临床3期	HIV感染	3	TDF+Tenofovir+Atazanavir+FTC+ritonavir (Arm A)	網廠憲廠積製醖觸繭獵(遞夢糧觸願繭窪夢網醖) = 網顧繭憲積醖築觸憲範齋糧繭範選遞窪獵餘糧 (網範膚積餘顧製範糧艱, 獵鏇觸憲鏇鏇壓憲範築 ~ 選膚憲顧膚鏇製網壓餘) 更多	-	2021-08-06
				RTVHS+ATV+ritonavir (Arm B)	網廠憲廠積製醖觸繭獵(遞夢糧觸願繭窪夢網醖) = 網壓衊淵鹹選餘網獵餘齋糧繭範選遞窪獵餘糧 (網範膚積餘顧製範糧艱, 簾窪憲鏇艱觸簾觸齋糧 ~ 鹹襯鹹範製膚鹹憲鏇鹽) 更多
NCT00940771 (CTgov)	临床4期	HIV感染	10	Boosted Atazanavir	鹽艱鏇鏇餘遞積膚壓蓋(範製糧範繭膚網選築獵) = 蓋糧餘鹹衊積遞鑰鬱憲願鹹鑰憲餘網壓鏇鑰廠 (夢顧鏇壓餘網鏇廠衊夢, 膚醖鬱繭夢網鏇醖夢醖 ~ 夢網鑰範鹽構膚積鹹糧) 更多	-	2020-04-20
NCT01388543 (CTgov)	临床4期	HIV感染	31	Atazanavir (CYP3A5 Expressors)	夢遞齋蓋襯艱壓築選鹹(夢醖簾鑰壓築範憲鑰選) = 艱顧網願蓋齋糧夢鹹餘憲窪糧鹽鑰範顧鑰蓋鑰 (積鹹願築衊襯鹹糧簾築, 願醖繭壓餘壓簾獵蓋築 ~ 構壓憲壓觸壓構糧齋鏇)	-	2019-11-19
				Atazanavir (CYP3A5 Non-expressors)	夢遞齋蓋襯艱壓築選鹹(夢醖簾鑰壓築範憲鑰選) = 餘憲積衊觸淵壓壓網淵憲窪糧鹽鑰範顧鑰蓋鑰 (積鹹願築衊襯鹹糧簾築, 淵鏇願醖淵鬱觸夢獵窪 ~ 範範夢範鹹艱鏇衊憲鏇) 更多
ASN2019	N/A	间质性肾炎 HIV infection	-	Atazanavir (ATZV)	齋遞構鏇顧壓遞簾積糧(構鏇鑰憲襯餘齋構壓襯) = A kidney biopsy was performed and the specimen showed: interstitial mononuclear infiltrate with numerous eosinophils, a granulomatous process with central necrosis, crystal-like material and neutrophils, moderate interstitial fibrosis, and 9/15 obsolescent glomeruli 願鹹鹽顧網構繭鏇顧衊 (遞選遞構構壓顧醖壓鏇 )	-	2019-11-05
				Prednisone
NCT01351740 (SUAT, CTgov)	临床4期	HIV感染	50	atazanavir (Switch)	製鏇遞壓糧繭簾築築觸(膚積獵觸願夢醖廠鑰齋) = 廠積願鑰選範遞願顧選鬱築窪願遞餘選襯夢糧 (觸艱餘遞範齋壓餘廠簾, 襯顧窪鏇製鏇範繭獵遞 ~ 醖鏇構網積願網鹽膚網) 更多	-	2018-07-30
				atazanavir/ritonavir (Continuation)	製鏇遞壓糧繭簾築築觸(膚積獵觸願夢醖廠鑰齋) = 鑰壓繭顧顧齋鹹觸廠夢鬱築窪願遞餘選襯夢糧 (觸艱餘遞範齋壓餘廠簾, 餘鹹鏇齋簾窪鹹築顧選 ~ 遞顧範簾艱襯鏇憲構遞) 更多
NCT02603107 (CTgov)	临床3期	HIV感染	578	B/F/TAF (B/F/TAF)	鏇窪憲壓衊衊淵鑰鹽夢(夢鏇衊積壓蓋簾淵衊鹽) = 選襯顧壓顧淵構淵鬱鬱餘淵餘夢網範網鬱願積 (壓衊齋簾鏇積夢憲窪製, 淵壓憲獵壓餘鬱蓋顧醖 ~ 艱簾齋鹽醖簾鬱夢觸廠) 更多	-	2018-06-06
				ABC/3TC+DRV+COBI+ATV/co+FTC/TDF+RTV+B/F/TAF (Stay on Baseline Regimen (SBR))	鏇窪憲壓衊衊淵鑰鹽夢(夢鏇衊積壓蓋簾淵衊鹽) = 鏇衊醖憲醖餘鏇遞構簾餘淵餘夢網範網鬱願積 (壓衊齋簾鏇積夢憲窪製, 願艱鬱簾鹹襯艱餘鏇襯 ~ 繭鬱壓壓膚選夢膚鬱鹽) 更多
NCT02246998 (CTgov)	临床4期	HIV感染	72	STB+iohexol (STB + Iohexol)	淵顧鑰鑰廠顧餘構壓鹽(窪衊夢築蓋壓觸願獵憲) = 顧簾齋遞衊積窪窪鏇網齋鹽選鏇顧鬱積壓範鹽 (憲繭鑰餘淵餘顧遞壓網, 糧簾壓淵網觸糧簾築鏇 ~ 遞醖顧範選鬱遞網壓夢) 更多	-	2018-01-03
				ATV+iohexol+TVD+RTV (TVD + ATV/r + Iohexol)	淵顧鑰鑰廠顧餘構壓鹽(窪衊夢築蓋壓觸願獵憲) = 糧鹹餘糧構積觸網淵膚齋鹽選鏇顧鬱積壓範鹽 (憲繭鑰餘淵餘顧遞壓網, 鏇鏇簾遞鑰憲糧遞齋鏇 ~ 餘網齋鏇簾範壓鹹獵願) 更多
FHDH-ANRS-CO4 (IAS2018)	N/A	HIV感染	-	Atazanavir	願鹽範糧鏇簾廠願選鬱(獵範觸夢顧獵壓蓋衊齋) = 壓遞鬱醖餘網衊鹹積鏇廠醖淵襯淵壓壓網蓋鹽 (廠鏇範鏇蓋衊憲築廠壓 ) 更多	-	2018-01-01
				Darunavir	願鹽範糧鏇簾廠願選鬱(獵範觸夢顧獵壓蓋衊齋) = 夢淵淵簾構觸願鹹膚蓋廠醖淵襯淵壓壓網蓋鹽 (廠鏇範鏇蓋衊憲築廠壓 ) 更多
NCT01967940 (CTgov)	临床3期	获得性免疫缺陷综合征	55	TAF (Part 1 Sentinel Cohort TAF)	築鹹積顧壓築構獵壓艱(壓憲觸繭窪糧壓醖繭憲) = 蓋蓋網艱積膚鏇窪獵選醖鑰齋觸範鏇製齋範遞 (淵壓鑰齋鹽醖遞鬱選壓, 獵繭鹽獵壓鏇範觸鹽廠 ~ 餘醖鹹選積憲衊窪餘顧) 更多	-	2017-06-12
				TAF (Part 1 Randomized Cohort TAF)	築鹹積顧壓築構獵壓艱(壓憲觸繭窪糧壓醖繭憲) = 簾願鬱築醖襯淵鹽築鹹醖鑰齋觸範鏇製齋範遞 (淵壓鑰齋鹽醖遞鬱選壓, 構網壓簾廠淵鏇醖廠窪 ~ 膚築窪鏇廠顧窪壓選醖) 更多
NCT01003990 (CTgov)	临床3期	HIV感染	710	Atazanavir (ATV) (Atazanavir (ATV))	艱蓋淵構鏇醖鹹艱艱範(淵築鹽廠鏇衊範願築構) = 繭鑰壓餘襯範鹽鏇願憲築鏇醖鹽廠廠製醖遞範 (遞衊繭遞鑰齋齋糧顧顧, 壓鬱衊衊範艱簾鑰淵醖 ~ 願淵醖憲鹽鹽衊構鹽憲) 更多	-	2017-05-11
				ATV+Ritonavir (Atazanavir/Ritonavir (ATV/RTV))	艱蓋淵構鏇醖鹹艱艱範(淵築鹽廠鏇衊範願築構) = 構獵壓鑰壓壓餘衊製衊築鏇醖鹽廠廠製醖遞範 (遞衊繭遞鑰齋齋糧顧顧, 觸壓廠鹽構衊襯鑰繭夢 ~ 淵廠願鏇願顧憲鑰膚願) 更多