Melbourne Australia, 14 September 2015 - Sun Biomedical Limited (ASX: SBN) today announced the first patient had been enrolled in a Phase II study of DMX-200, an innovative new treatment that combines two different drugs to treat chronic kidney disease.
DMX-200 combines a drug called irbesartan, an off-patent compound used to treat hypertension and nephropathy in Type II diabetic patients and propagermanium, which is used for the treatment for Hepatitis B in Japan and available as a dietary supplement in the USA.
The Company has previously published preclinical data showing that combining the drugs blocks an inflammatory response which prevents the kidneys from functioning properly and releasing protein into the urine, called proteinuria.
The primary goal of the study will be to quickly demonstrate the safety of DMX-200 in patients with chronic kidney disease. Secondary endpoints include reduction of levels of protein in the urine in patients with the disease.
Sun Biomedical Limited Executive Chairman Dr James Williams said, “We believe DMX-200 has a number of potential advantages over current therapeutic approaches. To expedite our path to market we intend pursuing registration initially for an orphan indication. Analysis of the interim data of up to the first 15 patients in the study will be used to inform and support regulatory paths required to achieve this outcome.”
“The phase II study initiated today underscores our commitment to rapidly developing effective new therapies for the unmet needs of patients with chronic kidney disease,” Dr Williams said.
About the Phase II Trial
The trial is a single arm, open label trial in adult patients with chronic kidney disease (with proteinuria). The primary end points are the incidence and severity of adverse events and the clinically significant changes in the safety profile of participants. The secondary end points are obtained from statistical analysis of biomarker data at each time point including change from baseline, and the proportion of responders defined as those participants achieving normalisation of proteinuria (proteinuria within normal limits) or those participants achieving a 50% reduction in proteinuria. The trial has two parts, Part A is a dose escalation trial recruiting up to 30 patients. All patients recruited to the trial will be on stable irbesartan therapy, and will be treated with propagermanium dosed orally three times per day. Each patient will commence on 30mg PPG/day and the dose increased each 28 days to a maximum of 240mg/day, or until proteinuria is absent or reduced to a level the clinician considers acceptable.
The Company expects to carry out an interim analysis of the Part A data to confirm the safety of the therapy and observe any biomarker changes on up to 15 patients. It is expected interim data will be available by mid-2016.
Part B is an expansion study, in which up to 30 patients are recruited on the best dose identified from Part A. The company expects to review the design of Part B in consultation with the FDA and in light of all data available to the company, prior to commencement of Part B. These discussions will be in line with the company’s strategy of pursuing registration for an orphan indication in which the sufferers exhibit chronic kidney disease. Orphan indications of chronic kidney disease include Focal Segmental Glomerulosclerosis (FSGS), Membranous Nephropathy (MN) and Minimal Change Disease (MCD). The trial has commenced at three sites in Melbourne, Australia, and may be expanded into other jurisdictions to meet recruitment targets and regulatory goals.
Chronic Kidney Disease
Chronic kidney disease can result from diabetes, high blood pressure and diseases that cause inflammation specifically in the kidneys. Proteinuria is the most common manifestation of the disease. As the disease progresses it can lead to end-stage renal disease (ESRD) where the kidneys fail. The only treatment for ESRD is a kidney transplant or regular blood-cleansing treatments called dialysis. More than 26 million people suffer from the disease in the United States.
DMX 200
DMX-200 combines two existing drugs, irbesartan and propagermanium. Irbesartan is an off-patent angiotensin II type I receptor blocker indicated for the treatment of hypertension and nephropathy in Type II diabetic patients. Propagermanium (PPG) is a chemokine receptor (CCR2) blocker, which has been used for the treatment for Hepatitis B. DMX-200 has been shown to improve the outcome of chronic kidney disease by reducing proteinurea by more than 50 per cent in animal models.
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Notes To Editors
About Dimerix Bioscience Limited
Sun Biomedical Limited’s wholly owned subsidiary Dimerix Bioscience Limited is a clinical-stage pharmaceutical company committed to discovering and developing new therapeutic paradigms identified using its proprietary screening assay, termed Receptor-Heteromer Investigation Technology (Receptor-HIT). This assay enables the identification of pairs of receptors that function in a joint manner (interact) when ligands, small molecule drugs, peptides or antibodies, bind to them. The Receptor-HIT technology was used to identify DMX-200 and an internal drug development program, initially for the treatment of a subset of patients with chronic kidney disease. In addition to its own therapeutic programs, the company also earns revenue by providing this technology to global pharmaceutical firms. Sun Biomedical acquired DMX-200, and the Receptor-HIT technology, through its acquisition of Dimerix Bioscience Limited, which completed in early July 2015.
Issued for and on behalf of Sun Biomedical by Instinctif Partners.
For more information please contact:
James Williams
Executive Chairman
+ 62 (0) 409 050 519
http://sunbiomed.com.au/
Instinctif Partners (media relations)
International
Sue Charles
t: +44 (0)20 7866 7905
e: Sunbiomedical@instinctif.com
Australia
Andrew Geddes
t: +61 (2) 9267 2341
e: Sunbiomedical@instinctif.com
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