WATERTOWN, Mass.--(BUSINESS WIRE)--Enanta Pharmaceuticals, Inc., (NASDAQ:ENTA) a research and development-focused biotechnology company dedicated to creating small molecule drugs for viral infections and liver diseases, today announced data from AbbVie’s SURVEYOR studies of its investigational treatment regimen, consisting of ABT-493, an NS3/4A protease inhibitor, and ABT-530, an NS5A inhibitor, that show high rates of sustained virologic response at 12 weeks post-treatment (SVR12) in non-cirrhotic patients with chronic hepatitis C virus (HCV) infection. After 12 weeks of treatment, SVR12 rates achieved were 97-100 percent in genotype 1 (GT1) patients, 96-100 percent in genotype 2 (GT2), and 83-94 percent in genotype 3 (GT3).1,2,3 These data will be presented at The Liver Meeting®, which is the Annual Meeting of the American Association for the Study of Liver Diseases (AASLD) in San Francisco.
Separately, in a late-breaking presentation of the SURVEYOR-1 trial, additional data will show non-cirrhotic GT1 chronic HCV patients who received a shorter duration of treatment for 8 weeks with ABT-493 and ABT-530 achieved a SVR12 rate of 97 percent.4
SURVEYOR-I and SURVEYOR-II are ongoing Phase 2b clinical studies that evaluate the safety and efficacy of treatment with combinations of ABT-493 and ABT-530, with or without ribavirin (RBV), for 8 to 12 weeks. The data presented at the AASLD meeting will include non-cirrhotic patients with GT1, GT2 and GT3 chronic HCV infection. Data in additional patient populations (genotypes 4-6) will be presented at future meetings.
About SURVEYOR-I
SURVEYOR-I is an ongoing Phase 2b two-part
study designed to evaluate the safety and efficacy of ABT-493 and
ABT-530, with or without RBV, for 8 to 12 weeks, in cirrhotic and
non-cirrhotic adult GT1 patients, and non-cirrhotic adult patients with
genotypes 4, 5 or 6 chronic HCV infection who were new to therapy or did
not respond to previous treatment with pegIFN/RBV (null responder).1,4
In Part 1 of SURVEYOR-I, with 12 weeks of treatment, no patients discontinued treatment due to severe adverse events. The most commonly-reported DAA-related adverse reactions (>10 percent of patients) were fatigue, headache and nausea. One patient experienced a serious adverse event of metastatic prostate cancer, unrelated to the study drugs and had onset after completion of study treatment.1 In Part 2, with 8 weeks of treatment, there were no study-related serious or severe adverse events reported. One subject discontinued the study at treatment week 4 due to adenocarcinoma, unrelated to study drugs. The most frequent adverse event (>5 percent of patients) was fatigue.4
About SURVEYOR-II
SURVEYOR-II is an ongoing Phase 2b
three-part study designed to evaluate the safety and efficacy of ABT-493
and ABT-530, with or without RBV, in cirrhotic and non-cirrhotic adult
patients with GT2 or GT3 chronic HCV infection who were new to therapy
or had failed previous treatment with pegIFN/RBV.2,3 In GT2
study patients, the most commonly-reported DAA-related adverse reactions
(>10 percent of patients) were fatigue, nausea, diarrhea and headache.
No GT2 study patients discontinued treatment due to an adverse event;
one patient experienced a serious adverse event of atrial fibrillation
unrelated to the study drugs.2 In GT3 study patients, the most
commonly-reported DAA-related adverse reactions (>10 percent of
patients) were fatigue, nausea and headache. One patient discontinued
treatment due to DAA- and RBV-related adverse events of abdominal pain
and heat sensation. Two patients experienced a serious adverse event,
one with pneumonia and one with B-cell lymphoma, both unrelated to the
study drugs.3 Part 1 results of SURVEYOR-II are presented at
AASLD.
Overview of SURVEYOR-I and SURVEYOR-II Clinical Data Presented at AASLD: |
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SURVEYOR-I (Genotype 1, Non-cirrhotic) |
||||||||||||||||||||
Number of Patients (n)/
Patient Population |
Duration of Treatment | Treatment Arm | Treatment Regimen | SVR12 Rates | ||||||||||||||||
n=40
Treatment-naïve=63% pegIFN/RBV null responders=37% |
12 Weeks |
Arm A |
ABT-493 (200mg) + ABT-530 (120mg) once daily |
100%
(n=40/40) |
||||||||||||||||
n=39 Treatment-naïve=64% pegIFN/RBV null responders=36% |
Arm B |
ABT-493 (200mg) + ABT-530 (40mg) once daily |
97%
(n=38/39) |
|||||||||||||||||
n=34
Treatment-naïve=85% pegIFN/RBV treatment experienced=15% |
8 weeks | Arm K (n=34) |
ABT-493 (300mg) + ABT-530 (120mg) once daily |
97%
(n=33/34) |
||||||||||||||||
SURVEYOR-II (Genotype 2, Non-cirrhotic) |
||||||||||||||||||||
Number of Patients (n)/
Patient Population |
Duration of Treatment | Treatment Arm | Treatment Regimen | SVR12 Rates | ||||||||||||||||
n=74
Treatment-naïve=88% pegIFN/RBV treatment experienced=12% |
12 weeks |
Arm A (n=25) |
ABT-493 (300mg) + ABT-530 (120mg) once daily |
96%
(n=24/25) |
||||||||||||||||
Arm B (n=24) |
ABT-493 (200mg) + ABT-530 (120mg) once daily |
100%
(n=24/24) |
||||||||||||||||||
Arm C (n=25) |
ABT-493 (200mg) + ABT-530 (120mg) once daily + RBV (weight-based, 1000 or 1200mg) twice daily |
100%
(n=25/25) |
||||||||||||||||||
SURVEYOR-II (Genotype 3, Non-cirrhotic) | ||||||||||||||||||||
Number of Patients (n)/ Patient Population |
Duration of Treatment | Treatment Arm | Treatment Regimen | SVR12 Rates | ||||||||||||||||
n=30 Treatment-naïve=90% pegIFN/RBV treatment experienced=10% |
12 weeks | Arm D |
ABT-493 (300mg) + ABT-530 (120mg) once daily |
93%
(n=28/30) |
||||||||||||||||
n=30
Treatment-naïve=93% pegIFN/RBV treatment experienced=7% |
Arm E |
ABT-493 (200mg) + ABT-530 (120mg) once daily |
93%
(n=28/30) |
|||||||||||||||||
n=31 Treatment-naïve=90% pegIFN/RBV treatment experienced=10% |
Arm F |
ABT-493 (200mg) + ABT-530 (120mg) once daily + RBV (weight-based, 1000 or 1200mg) twice daily |
94%
(n=29/31) |
|||||||||||||||||
n=30 Treatment-naïve=93% pegIFN/RBV treatment experienced=7% |
Arm G |
ABT-493 (200mg) + ABT-530 (40mg) once daily |
83%
(n=25/30) |
Protease Inhibitor Collaboration with AbbVie
In December
2006, Enanta and Abbott announced a worldwide agreement to collaborate
on the discovery, development and commercialization of HCV NS3 and
NS3/4A protease inhibitors and HCV-protease-inhibitor-containing drug
combinations. ABT-493 is a protease inhibitor identified through the
collaboration, as is paritaprevir, which is part of AbbVie’s existing
approved regimens for HCV. AbbVie is Abbott’s successor under the
agreement and is responsible for all development and commercialization
activities for ABT-493, as well as paritaprevir.
About Enanta
Enanta Pharmaceuticals is a research and
development-focused biotechnology company that uses its robust
chemistry-driven approach and drug discovery capabilities to create
small molecule drugs for viral infections and liver diseases. Enanta has
developed novel protease and NS5A inhibitors that are members of the
direct-acting-antiviral (DAA) inhibitor classes designed for use against
the hepatitis C virus (HCV). Enanta’s protease inhibitors partnered with
AbbVie include paritaprevir, which is contained in AbbVie’s marketed DAA
regimens for HCV, and ABT-493, Enanta’s next-generation protease
inhibitor completing phase 2 development in combination with ABT-530,
AbbVie’s next-generation NS5A inhibitor. Enanta also has a program to
develop a host-targeted antiviral (HTA) inhibitor class for HCV targeted
against cyclophilin, as well as another DAA program to develop
nucleotide polymerase inhibitors. In addition, Enanta has a preclinical
program in non-alcoholic steatohepatitis, or NASH, which is a condition
that results in liver inflammation and liver damage caused by a buildup
of fat in the liver.
Forward Looking Statements Disclaimer
This press release
contains forward-looking statements, including statements with respect
to the prospects for AbbVie’s next-generation treatment regimen under
development for HCV. Statements that are not historical facts are based
on our management’s current expectations, estimates, forecasts and
projections about our business and the industry in which we operate and
our management’s beliefs and assumptions. The statements contained in
this release are not guarantees of future performance and involve
certain risks, uncertainties and assumptions, which are difficult to
predict. Therefore, actual outcomes and results may differ materially
from what is expressed in such forward-looking statements. Important
factors that may affect actual results include the efforts of AbbVie
(our collaborator on ABT-493) regarding clinical development of
ABT-493-containing regimens; the impact of competitive products on the
regulatory requirements, use and sales of any ABT-493-containing
regimen; and other risk factors described or referred to in “Risk
Factors” in Enanta’s most recent Form 10-K for the fiscal year ended
September 30, 2014 and other periodic reports filed more recently with
the Securities and Exchange Commission. Enanta cautions investors not to
place undue reliance on the forward-looking statements contained in this
release. These statements speak only as of the date of this release, and
Enanta undertakes no obligation to update or revise these statements,
except as may be required by law.
1 Poordad, F., et al. SURVEYOR-I: 98% – 100% SVR4 in HCV Genotype 1 Non-Cirrhotic Treatment-Naïve or Pegylated Interferon/Ribavirin Null-Responders with the Combination of the Next Generation NS3/4A Protease Inhibitor ABT-493 and NS5A Inhibitor ABT-530; Oral presentation #41; presented at The Liver Meeting®, the Annual Meeting of the American Association for the Study of Liver Diseases (AASLD) in San Francisco, November 13-17, 2015.
2 Wyles, D., et al. SURVEYOR-II: High SVR4 Rates Achieved With the Next Generation NS3/4A Protease Inhibitor ABT-493 and NS5A Inhibitor ABT-530 in Non-Cirrhotic Treatment-Naïve and Treatment-Experienced Patients With HCV Genotype 2 Infection; Oral presentation #250; presented at The Liver Meeting®, the Annual Meeting of the American Association for the Study of Liver Diseases (AASLD) in San Francisco, November 13-17, 2015.
3 Kwo, P, et al. SURVEYOR-II: High SVR4 Rates Achieved With the Next Generation NS3/4A Protease Inhibitor ABT-493 and NS5A Inhibitor ABT-530 In Non-Cirrhotic Treatment-Naïve and Treatment-Experienced Patients With HCV Genotype 3 Infection; Oral presentation #248; presented at The Liver Meeting®, the Annual Meeting of the American Association for the Study of Liver Diseases (AASLD) in San Francisco, November 13-17, 2015.
4 Poordad, F., et al. 100% SVR4 in HCV Genotype 1 Non-Cirrhotic Treatment-Naïve or -Experienced Patients With the Combination of ABT-493 and ABT-530 for 8 Weeks (SURVEYOR-I); Poster presentation #; presented at The Liver Meeting®, the Annual Meeting of the American Association for the Study of Liver Diseases (AASLD) in San Francisco, November 13-17, 2015.