Recent Updates
Recently added Catalysts

Co-ArgI-PEG

Phase 3

Advanced Cancers | Small molecule | Oncology |Spyre Therapeutics, Inc.|Trials Updated: Nov 19, 2024

Co-ArgI-PEG development status

Highest phase Phase 3 (NCT05676853)
Phase scored for SYREPhase 1
Registered trials 6 across 1 sponsor since Apr 2001

Co-ArgI-PEG target and mechanism

ModalitySmall molecule

Also known as AEB1102, Pegzilarginase

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedCONTROLLEDBiomarker
Total Trials5
Total Enrollment228

FDA Designations

No designations recorded

Co-ArgI-PEG clinical trials

Co-ArgI-PEG · 5 trials · 4 indications

Phase 3 1Phase 2 1Phase 1 3
NCT03921541Efficacy and Safety of Pegzilarginase in Patients With Arginase 1 DeficiencyArginase I Deficiency
COMPLETED32 Analytics
PHASE3COMPLETED
Efficacy and Safety of Pegzilarginase in Patients With Arginase 1 Deficiency
Arginase I DeficiencyUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Plasma Arginine Concentration After 24 Weeks of Treatment
Baseline through Week 24

The primary analysis will test the change in the level of plasma arginine between baseline and completion of week 24 assessments. It will compare the change from baseline in plasma arginine between participants treated with pegzilarginase and those treated with placebo.

Incidence of treatment-related adverse events
up to 4 years
Number of subjects with adverse events
weekly throughout the study, up to 14 weeks

Includes significant changes in hematology, chemistry and coagulation laboratory studies as well as in physical exam and vital signs

maximum tolerated dose
4 weeks

the dose level at which no more than 1/6 patients experiences dose-limiting toxicity

1. Phase 1: Incidence of treatment-related adverse events as assessed by CTCAE v4.0
Estimated up to 6 months

1\. Number of participants experiencing treatment-related adverse events as assessed by CTCAE v4.0.

Phase 2: Efficacy determined by Objective Response Rate (ORR:CR+PR) per RECIST 1.1.
Estimated up to 6 months

1\. Objective Response Rate (ORR:) per RECIST 1.1 • The Objective Response Rate (ORR) is defined as the percentage of subjects whose best objective response (BOR) is either complete response (CR) or partial response (PR). The ORR will be derived from the BOR according to response evaluation criteria in solid tumors (RECIST) v1.1 as assessed by the Investigator.

Secondary Endpoints

Mean Change From Baseline in the Mobility Assessments of the Key Secondary Outcome Measure of the 2 Minute Walk Test
Baseline through Week 24
Mean Change From Baseline in the Mobility Assessments of the Key Secondary Outcome Measure of GMFM-E
Baseline through Week 24
Proportion of Participants With Plasma Arginine Levels Below Target Guidance
Baseline and week 24
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PegzilarginaseEXPERIMENTALWeekly IV infusions of pegzilarginase plus individualized disease management for 24 weeks
PlaceboPLACEBO_COMPARATORWeekly IV infusions of placebo plus individualized disease management for 24 weeks
Pegzilarginase Long Term ExtensionEXPERIMENTALAfter completion of 24 weeks DB treatment, weekly IV infusions of pegzilarginase plus individualized disease management for an additional 150 weeks, with the option to receive treatment by SC after 8 weeks of the LTE study.
AEB1102EXPERIMENTALEach patient may receive AEB1102 administered IV for up to approximately 4 years.
AEB1102 Dose Escalation Cohort 1EXPERIMENTAL3 patients dosed at 0.01 mg/kg until MTD determined
AEB1102 Dose Escalation Cohort 2EXPERIMENTAL4 patients dosed at 0.02 mg/kg until MTD determined
AEB1102 Dose Escalation Cohort 3EXPERIMENTAL4 patients dosed at 0.04 mg/kg until MTD determined
AEB1102 Dose Escalation Cohort 4EXPERIMENTAL4 patients dosed at 0.08 mg/kg until MTD determined
AEB1102 Dose Escalation Cohort 5EXPERIMENTAL3 patients dosed at 0.12 mg/kg until MTD determined
AEB1102 Dose Escalation Cohort 6EXPERIMENTAL4 patients dosed at 0.18 mg/kg until MTD determined
AEB1102 Dose Escalation Cohort 7EXPERIMENTAL5 patients dosed at 0.27 mg/kg until MTD determined
AEB1102 Dose Escalation Cohort 8EXPERIMENTAL7 patients dosed at 0.40 mg/kg until MTD determined
AEB1102 Dose Escalation Cohort 9EXPERIMENTAL7 patients dosed at 0.33 mg/kg until MTD determined MTD determined at 0.33 mg/kg
AEB1102 ExpansionEXPERIMENTALUveal: 11 patients dosed at 0.33 mg/kg Cutaneous Melanoma: 11 dosed at 0.33 mg/kg SCLC: 13 patients dosed at 0.33 mg/kg
Pegzilarginase plus PembrolizumabEXPERIMENTALPhase 1 \& 2

Interventions

NameTypeDescription
PegzilarginaseDRUGIndividualized disease management which includes severe protein restriction, essential amino acid supplementation and the ammonia scavengers when indicated
PlaceboDRUGIndividualized disease management which includes severe protein restriction, essential amino acid supplementation and the ammonia scavengers when indicated
AEB1102DRUGmodified human arginase I
Co-ArgI-PEGDRUGAdministered IV
PembrolizumabDRUGAdministered IV
Unlock Study Design Details

Eligibility Criteria

Age Range2 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites32

Inclusion Criteria: Subjects are eligible to be included in the study only if all the following criteria apply: 1. The subject and/or parent/guardian provides written informed consent/assent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF)...

Countries:United StatesAustriaCanadaFranceGermanyItalyUnited KingdomPortugalPuerto Rico
Unlock Eligibility Criteria

Frequently asked questions about Co-ArgI-PEG

What is Co-ArgI-PEG used for?

Co-ArgI-PEG is an investigational small molecule being developed for the treatment of advanced cancers. It is currently in Phase 1 clinical development, meaning it has not yet been approved by regulatory authorities and remains under investigation for safety and efficacy in patients with advanced solid tumors.

Who makes Co-ArgI-PEG?

Co-ArgI-PEG is being developed by Spyre Therapeutics, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol SYRE. The company is conducting clinical research to evaluate the drug's potential in oncology, specifically for patients with advanced cancers.

What phase is Co-ArgI-PEG in?

Co-ArgI-PEG is in Phase 1 clinical development. A Phase 1 trial has been completed, which enrolled 98 patients with advanced solid tumors. The drug is still investigational and has not received FDA approval, as it remains in the early stages of clinical testing.

What clinical trials is Co-ArgI-PEG in?

Co-ArgI-PEG has one completed clinical trial registered under NCT02561234, titled "A Multiple Dose, Dose Escalation Trial of AEB1102 in Patients With Advanced Solid Tumors." This Phase 1 study enrolled 98 participants in the United States and evaluated the drug in patients with advanced cancers.

Is Co-ArgI-PEG the same as AEB1102?

Yes, Co-ArgI-PEG is also known as AEB1102. The completed Phase 1 clinical trial NCT02561234, which evaluated the drug in patients with advanced solid tumors, used the name AEB1102 in its title. Both names refer to the same investigational small molecule being developed by Spyre Therapeutics.