Positive Results From Affinium Pharmaceuticals' Phase 2a Clinical Trial of AFN-1252 in ABSSSI
Barry Hafkin, MD, Chief Medical Officer of Affinium Pharmaceuticals stated, "This clinical study in 103 patients from 18 centers in the USA and Canada confirms excellent efficacy, safety and tolerability of 200 mg of oral AFN-1252 dosed twice daily for 5-14 days in patients with acute bacterial skin and skin structure infections (ABSSSI) due to Staphylococcus". Patients were recruited from outpatient or emergency room settings. The enrolled patients had a variety of skin infections of 75 cm2 in size, including severe abscesses (38%), cellulitis (27%), and wound infections (35%). Investigators had the option of adding a second antibiotic to cover other potential pathogens or admitting the patient into the hospital. The vast majority of the patients were treated with oral AFN-1252 as monotherapy in the outpatient setting based on the suspicion of staphylococci from the clinical presentation and pretreatment Gram stain. This study fully utilized recent FDA guidances for clinical trials in ABSSSI, including both entry and efficacy criteria.
Key results from the study include:
- Day 3 Improvement was achieved in 94% of patients in the clinically evaluable (CE) and microbiologically-evaluable (ME) populations.
- Overall cure, defined as resolution of lesion at short term follow-up, was seen in 93% of patients.
- Treatment emergent adverse events (TEAEs) related to study drug occurred in 67% of patients, of which 90% were mild or moderate. The most common TEAEs were headache, nausea and vomiting. Only 4 patients withdrew due to drug-related TEAEs.
- Of the 103 ITT patients who received drug, 87 patients had evidence of Staphylococcus at baseline (MITT), 88 were clinically evaluable at end of treatment (test of cure) and 76 were microbiologically evaluable.
- Consistent with the growing incidence of MRSA in the community, almost 50% of the S. aureus isolates were methicillin-resistant (MRSA).
"It's very exciting to have an oral formulation of a new mechanism of action antibiotic that has such high potency against MRSA and a safety profile which is promising, particularly for longer term therapy," stated Dr. Vance Fowler, Professor of Medicine at Duke University Medical Center.
Dr. Robert Daum, Professor of Pediatrics and Head of the MRSA Research Center at the University of Chicago indicated that "an antibiotic that preserves gut flora and minimizes the risk of C. difficile overgrowth would bring important advantages to treatment of skin infections in both the hospital and community. The potential of AFN-1252 to provide these benefits is groundbreaking and should be pursued in greater detail."
"These data support the use of oral AFN-1252 as safe and rapid treatment of serious staphylococcal infections, including MRSA," stated Dr. Ed Mascioli, newly appointed CEO of Affinium. "We are eagerly pursuing the continued development of the oral formulation, as well as conducting Phase 1 studies for the intravenous formulation this year."
About Staphylococcal Infections
Staphylococcus is the mostly commonly identified bacterial pathogen in man and is a potential pathogen in almost every type of bacterial infection. Methicillin-resistant strains of S. aureus (MRSA) accounts for about half of all S. aureus strains in the US and cause significant morbidity and mortality worldwide. According to the Infectious Disease Society of America (IDSA), MRSA kills more Americans every year than emphysema, HIV/AIDS, Parkinson's Disease and homicides combined.1
About AFN-1252
AFN-1252 is the lead, Phase 2 clinical stage agent in a new class of antibiotics based on FabI inhibition. Due to its unique, staphylococcal-specific spectrum, AFN-1252 is expected to have minimal off-target side effects, such as antibiotic-induced diarrhea or C. difficile overgrowth, and no resistance pressure on other bacteria; consequently, the development of multiply-drug-resistant organisms like vancomycin-resistant enterococci (VRE) is unlikely. AFN-1252 is 3-20 times more potent than linezolid in animal models of infection, and is exquisitely potent against all strains of Staphylococcus, including all known resistant strains such as MRSA and vancomycin-intermediate S. aureus (VISA). With over 220 patients in clinical trials exposed to drug, AFN-1252 has demonstrated an excellent safety and tolerability profile. AFN-1252 has the potential to be used either as monotherapy or in combination, when MRSA is suspected, in a significant number of infections. Both oral and IV formulations are in development.
About Affinium Pharmaceuticals
Affinium Pharmaceuticals is a specialty pharmaceutical company focused on the development of novel anti-infective medicines based on bacterial fatty acid synthesis inhibition. The antibacterial program constitutes a new antibiotic franchise with the potential for multiple patented products inhibiting the FabI target in several different bacterial species.
For more information, please see our website at: www.afnm.com
| 1) | http://www.idsociety.org/IDSA/Site_Map/Topics_of_Interest/Antimicrobial_Resistance/Public_Policy/Facts_about_Antibiotic_Resistance.aspx accessed 18Feb2013 |
SOURCE Affinium Pharmaceuticals