UCB (Euronext Brussels: UCB) and Biogen Inc. (NASDAQ: BIIB) today
announced positive topline results from the Phase 3 PHOENYCS GO
study evaluating dapirolizumab pegol, a novel Fc-free anti-CD40L
drug candidate, in people living with moderate-to-severe systemic
lupus erythematosus (SLE). Dapirolizumab pegol, in addition to
standard-of-care (SOC) treatment, met the primary endpoint to
demonstrate greater improvement of moderate-to-severe disease
activity as assessed by achievement of British Isles Lupus
Assessment Group (BILAG)-based Composite Lupus Assessment (BICLA)
after 48 weeks versus placebo in addition to SOC. Clinical
improvements were observed among key secondary endpoints measuring
disease activity and flares.
The safety profile of dapirolizumab pegol was
generally consistent with previous studies and with that expected
in study participants with systemic lupus erythematosus receiving
an immunomodulator.
“These positive results with dapirolizumab pegol
represent encouraging progress in the development of medicines that
can improve the lives of those living with lupus, an area that
remains one of high unmet medical need and where women are
disproportionately affected,” said Fiona du Monceau, Head of
Patient Evidence at UCB. "We have confidence in the unique mode of
action of dapirolizumab pegol which targets multiple inflammatory
pathways involved in the pathogenesis of SLE. As we pursue the next
steps in the clinical development of this potentially
differentiated treatment, we extend our appreciation to the
patients, study investigators and the clinical community for their
ongoing support and participation in this important research.”
Based on the successful outcome of the PHOENYCS
GO study, UCB and Biogen are initiating a second Phase 3 trial of
dapirolizumab pegol in 2024, PHOENYCS FLY. Participants from the
PHOENYCS GO study will continue to be followed in a long-term
open-label study.
“Our hypothesis is that impacting the CD40L
pathway, a central mechanism in immune response, would translate to
significant impact on SLE disease burden. These results demonstrate
that dapirolizumab pegol has the promise to provide meaningful
benefit in this serious, chronic, and often devastating disease,”
said Diana Gallagher, MD, Head of AD, MS and Immunology Development
Units at Biogen. “We are committed to delivering new treatment
options for this autoimmune disease and believe the overall
efficacy and safety seen in PHOENYCS GO support further development
of dapirolizumab pegol in SLE.”
PHOENYCS GO (n= 321) is a multicenter,
randomized, double-blind, placebo-controlled, parallel-group study
of dapirolizumab pegol as an add on therapy to standard of care
compared to placebo with standard of care. The primary outcome
measure was improvement of moderate-to-severe disease activity at
Week 48 using BICLA, an established, composite primary efficacy
endpoint for measurement of clinical disease activity based on
patient medical history, clinical examination and laboratory
tests.
Detailed results from the PHOENYCS GO study will
be presented at an upcoming medical congress.
About Systemic Lupus Erythematosus
(SLE)SLE, the systemic form of lupus, is a chronic,
multifactorial autoimmune disease that can affect multiple organ
systems with periods of illness or flares alternating with periods
of inactivity.1 SLE can present itself in several ways including
rash, arthritis, anemia, thrombocytopenia, serositis, nephritis,
seizures or psychosis.2 SLE is associated with a greater risk of
death from causes such as infection and cardiovascular disease.
An estimated 90 percent of people living with
lupus are women; most begin to see symptoms between the ages of
15-55.3,4,5 Individuals from populations of African, Hispanic,
Asian and Native American descent are at a greater risk of earlier
onset and more aggressive disease.6,7 Pregnancy in women with SLE
is high risk, with higher maternal and fetal mortality and
morbidity than the general population.8,9
About Dapirolizumab
PegolDapirolizumab pegol is a novel investigational
humanized Fc-free polyethylene glycol (PEG)-conjugated
antigen-binding (Fab’) fragment. Dapirolizumab pegol inhibits CD40L
signaling which has been shown to reduce B cell activation and
autoantibody production, mitigate type 1 interferon (IFN)
secretion, and attenuate T cell and antigen-presenting cell (APC)
activation.10 Dapirolizumab pegol is presently in Phase 3 clinical
development for the treatment of systemic lupus erythematosus (SLE)
under a collaboration between UCB and Biogen.11
About UCB
UCB, Brussels, Belgium (http://www.ucb.com) is a
global biopharmaceutical company focused on the discovery and
development of innovative medicines and solutions to transform the
lives of people living with severe diseases of the immune system or
of the central nervous system. UCB is listed on Euronext Brussels
(symbol: UCB).
About BiogenFounded in 1978,
Biogen is a leading biotechnology company that pioneers innovative
science to deliver new medicines to transform patient’s lives and
to create value for shareholders and our communities. We apply deep
understanding of human biology and leverage different modalities to
advance first-in-class treatments or therapies that deliver
superior outcomes. Our approach is to take bold risks, balanced
with return on investment to deliver long-term growth.The company
routinely post information that may be important to investors on
its website at www.biogen.com. Follow us on social
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References:
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Gladman DD, Touma Z, et al. Disease course patterns in systemic
lupus erythematosus. Lupus. 2019;28(1):114-122.
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Tziolos N, Bertsias G, et al. Update οn the diagnosis and
management of systemic lupus erythematosus. Ann Rheum Dis.
2021;80(1):14-25. doi:10.1136/annrheumdis-2020-218272
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M, Grainge M, Davenport G, Lanyon P, Zhang W. The incidence and
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Ann Rheum Dis. 2016;75(1):136-41. Epub 2014/10/01. doi:
10.1136/annrheumdis-2014-206334. PubMed PMID: 25265938; PubMed
Central PMCID: PMCPMC4717400.
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Ugarte-Gil MF, Alarcón GS. Epidemiology of systemic lupus
erythematosus. Expert Rev Clin Immunol. 2017;13(8):799-814.
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SG, Clarke AE. The global burden of SLE: prevalence, health
disparities and socioeconomic impact. Nat Rev Rheumatol.
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PubMed PMID: 27558659.
- Kheir JM,
Guthridge CJ, Johnston JR, Adams LJ, Rasmussen A, Gross TF, et al.
Unique clinical characteristics, autoantibodies and medication use
in Native American patients with systemic lupus erythematosus.
Lupus Sci Med. 2018;5(1):e000247. Epub 2018/03/14. doi:
10.1136/lupus-2017-000247. PubMed PMID: 29531773; PubMed Central
PMCID: PMCPMC5844376.
- Mehta B, Luo Y,
Xu J, Sammaritano L, Salmon J, Lockshin M, et al. Trends in
Maternal and Fetal Outcomes Among Pregnant Women With Systemic
Lupus Erythematosus in the United States: A Cross-sectional
Analysis. Ann Intern Med. 2019;171(3):164-71. Epub 2019/07/10. doi:
10.7326/M19-0120. PubMed PMID: 31284305.
- Bitencourt N,
Bermas BL. Pharmacological Approach to Managing Childhood-Onset
Systemic Lupus Erythematosus During Conception, Pregnancy and
Breastfeeding. Paediatr Drugs.
- Furie RA, Bruce
IN, Dörner T, et al. Phase 2 randomized, placebo-controlled trial
of dapirolizumab pegol in patients with moderate to severe active
systemic lupus erythematosus (SLE). Rheumatology
(Oxford).2021;60(11): 5397-407.
- ClinGov.gov
(NCT04294667). A Study to Evaluate the Efficacy and Safety of
Dapirolizumab Pegol in Study Participants With Moderately to
Severely Active Systemic Lupus Erythematosus (PHOENYCS GO) 2023
[cited August 2024] Available at:
https://clinicaltrials.gov/ct2/show/NCT04294667. Retrieved July 25,
2024.
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