, March 20, 2013
/PRNewswire/ - Affinium Pharmaceuticals
announced today that its Phase 2a clinical trial evaluating oral
AFN-1252 in acute bacterial skin & skin structure infections (ABSSSI)
demonstrated excellent efficacy and safety data, marking a significant
proof-of-concept milestone for Affinium's first-in-class, novel
antibiotic targeted against bacterial fatty acid biosynthesis
inhibition (FabI inhibitors).
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
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
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
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
For more information, please see our website at: www.afnm.com
SOURCE Affinium Pharmaceuticals