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Apogee Announces Dosing of First Patient in Phase 2 Atopic Dermatitis Trial of APG777, a Novel Subcutaneous Half-life Extended Anti-IL-13 Antibody for the Treatment of Atopic Dermatitis and Other Inflammatory Diseases In

Key Takeaway: Apogee Therapeutics has initiated dosing of the first patient in its Phase 2 clinical trial for APG777, an innovative anti-IL-13 antibody designed for treating moderate-to-severe atopic dermatitis. The trial was prompted by favorable results from a prior Phase 1 study, which demonstrated a promising pharmacokinetic profile and patient safety. With 16-week proof-of-concept data expected in the second half of 2025, the company plans to explore further indications, including asthma. This trial combines typical Phase 2a and 2b phases, potentially expediting development timelines.

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POSITIVE FACTORS

  • Initiation of dosing for Phase 2 trial represents a significant milestone.
  • APG777 exhibits a potentially best-in-class PK profile with a long half-life.
  • The novel design of the trial aims to optimize dosing and accelerate timelines.

Full Press Release Details

Apogee Announces Dosing of First Patient in
Phase 2 Atopic Dermatitis Trial of APG777, a Novel Subcutaneous Half-life Extended Anti-IL-13 Antibody for the Treatment of Atopic Dermatitis
and Other Inflammatory Diseases
data from APG777 Phase 1 healthy volunteers study exceeded all trial objectives and achieved a half-life of approximately 75 days with
a potentially best-in-class profile
16-week proof-of-concept data from Part A
of the Phase 2 trial expected in 2H 2025
Pipeline-in-a-product potential with a Phase
2 in asthma expected to initiate in 2025 and plans for additional indication expansion
San Francisco, CA and Waltham, MA,
May 15, 2024 - Apogee Therapeutics, Inc. (Nasdaq: APGE), a clinical-stage biotechnology company advancing
differentiated biologics for the treatment of atopic dermatitis (AD), chronic obstructive pulmonary disease (COPD), asthma and other
inflammatory and immunology (I&I) indications, today announced that it has initiated dosing in the Phase 2 trial of APG777 in patients
with moderate-to-severe atopic dermatitis. APG777 is a novel, subcutaneously-administered half-life extended monoclonal antibody targeting
IL-13 - a critical cytokine in inflammation and a primary driver of AD.
"We are thrilled to begin patient dosing in our Phase 2 trial
of APG777, marking a significant step forward in the advancement of this program and to further realizing the impact a fully-optimized
antibody with extended half-life could have on the treatment of AD compared to other available biologics," said Michael Henderson,
MD, Chief Executive Officer of Apogee. "The initiation of this Phase 2 trial is supported by the highly encouraging results of our
Phase 1 healthy volunteer trial that were reported earlier this year. With a potentially best-in-class pharmacokinetic profile, sustained
pharmacodynamic responses, and well-tolerated safety profile, we believe APG777 could offer improved clinical responses with less frequent
dosing than current standard of care. We look forward to the advancement of this trial and initial 16-week data in the second half of
The APG777 Phase 2 clinical trial is a randomized, placebo-controlled,
16-week trial in patients with moderate-to-severe AD. The trial was designed to combine the typical Phase 2a and 2b portions of a clinical
trial into a single protocol. Part A is expected to enroll approximately 110 patients randomized 2:1 to APG777 vs. placebo; patients
receiving APG777 will receive induction regimen dosing of 720mg at weeks 0 and 2, followed by 360mg at weeks 4 and 12. Patients benefiting
from treatment will continue to APG777 maintenance, which will evaluate 3- to 6-month dosing. Part B is a placebo-controlled dose
optimization with approximately 360 patients randomized 1:1:1:1 to high, medium, or low dose APG777 vs. placebo. The primary endpoint
of each part of the study is mean percentage changes in EASI score from baseline to Week 16.
In head-to-head preclinical studies, APG777 demonstrated equivalent
or better potency to lebrikizumab in the inhibition of IL-13 signaling. Based on its potentially best-in-class pharmacokinetic (PK) profile,
APG777 has the potential for improved clinical responses due to greater exposures of drug in induction while dosing as infrequently as
once every three or six months. AD is a chronic inflammatory skin disorder which can lead to sleep disturbance, psychological distress,
elevated infection risk and chronic pain, all of which significantly impact quality of life. Today's treatments are associated with
many challenges, including frequent injection regimens that can lead to poor patient compliance.
"Our Phase 2 trial features an innovative design, enabling us
to run both proof-of-concept and dose optimization parts in the same study, which could significantly accelerate our timelines,"
said Carl Dambkowski, MD, Chief Medical Officer of Apogee. "Importantly, based on APG777's extended half-life and high-concentration
formulation, we were able to establish a Phase 2 induction regimen designed to exceed lebrikizumab exposures by ~30-40% with potential
for improved clinical responses (e.g. EASI-75, EASI-90, IGA 0/1). The optimized PK profile will further enable a dosing schedule
of six injections during induction, compared to the 11 injections of lebrikizumab given during the same period, and ~70-90% fewer injections
in maintenance compared to currently available therapies. This approach supports our mission to provide well-tolerated treatments that
require less frequent injections for patients. We extend our gratitude to the sites, site staff, and patients participating in the study
for their invaluable contributions to advancing our program and look forward to further realizing the impact that less frequent dosing
and a potentially improved clinical response could bring to patients living with AD."
APG777 is a novel, subcutaneous half-life extended monoclonal antibody
targeting IL-13 for the potential treatment of atopic dermatitis (AD). In head-to-head preclinical studies, APG777 showed equivalent or
better potency to lebrikizumab in the inhibition of IL-13 signaling. AD is a chronic inflammatory skin disorder that affects approximately
40 million adults and 18 million children in the United States, France, Germany, Italy, Japan, Spain and the United Kingdom, 40 percent
of which have moderate-to-severe disease. Based on initial clinical data, the company plans to initiate a Phase 2 trial in asthma and
plans to further evaluate opportunities to develop APG777 for other I&I indications, including alopecia areata, chronic rhinosinusitis
with nasal polyps, chronic spontaneous urticaria, eosinophilic esophagitis and prurigo nodularis.
Apogee Therapeutics is a clinical-stage
biotechnology company seeking to develop differentiated biologics for the treatment of atopic dermatitis (AD), chronic obstructive pulmonary
disease (COPD), asthma and other inflammatory and immunology indications with high unmet need. Apogee's antibody programs are designed
to overcome limitations of existing therapies by targeting well-established mechanisms of action and incorporating advanced antibody
engineering to optimize half-life and other properties. The company's two most advanced programs are APG777 and APG808, which are
being initially developed for the treatment of AD and COPD, respectively. Based on a broad pipeline and depth of expertise, the company
believes it can deliver value and meaningful benefit to patients underserved by today's standard of care. For more information,
Forward Looking Statements
Certain statements in this press release may constitute "forward-looking
statements" within the meaning of the federal securities laws, including, but not limited to, statements regarding: the efficacy,
safety, tolerability, PK and PD profile of APG777, the potential dosing regimen of APG777, the potential superiority of APG777 compared
to current therapies, our expectations regarding plans for our current and future product candidates and programs, our plans for our current
and future clinical trials, including our Phase 2 trial for APG777, our plans for clinical trial design, the anticipated timing of the
initiation of and results from our clinical trials, including data from our Phase 2 trial of AP777, and the potential clinical benefit
and half-life of APG777. Words such as "may," "might," "will," "objective," "intend,"
"should," "could," "can," "would," "expect," "believe," "design,"
"estimate," "predict," "potential," "develop," "plan" or the negative of these
terms, and similar expressions, or statements regarding intent, belief, or current expectations, are forward-looking statements. While
Apogee believes these forward-looking statements are reasonable, undue reliance should not be placed on any such forward-looking statements,
which are based on information available to the company on the date of this release. These forward-looking statements are based upon current
estimates and assumptions and are subject to various risks and uncertainties (including, without limitation, those set forth in Apogee's
filings with the U.S. Securities and Exchange Commission (the SEC)), many of which are beyond the company's control and subject
to change. Actual results could be materially different. Risks and uncertainties include: global macroeconomic conditions and related
volatility, expectations regarding the initiation, progress, and expected results of our preclinical studies, clinical trials and research
and development programs; expectations regarding the timing, completion and outcome of our clinical trials; the unpredictable relationship
between preclinical study results and clinical study results; the timing or likelihood of regulatory filings and approvals; liquidity
and capital resources; and other risks and uncertainties identified in our Quarterly Report on 10-Q for the quarterly period ended March 31,
2024, filed with the SEC on May 13, 2024, and subsequent disclosure documents we may file with the SEC. Apogee claims the protection
of the Safe Harbor contained in the Private Securities Litigation Reform Act of 1995 for forward-looking statements. Apogee expressly
disclaims any obligation to update or alter any statements whether as a result of new information, future events or otherwise, except
VP, Investor Relations
Apogee Therapeutics, Inc.

Frequently Asked Questions

What is APG777 and its purpose?

APG777 is a novel subcutaneous monoclonal antibody targeting IL-13, designed to treat atopic dermatitis and other inflammatory diseases.

When is the Phase 2 trial data expected?

The 16-week proof-of-concept data from the Phase 2 trial is expected in the second half of 2025.

How is APG777 administered in the trial?

APG777 is administered through an induction regimen of 720mg initially, followed by 360mg in later doses.

What distinguishes APG777 from lebrikizumab?

APG777 shows equivalent or better potency against IL-13 and offers a dosing schedule with fewer injections than lebrikizumab.

What is the target population for APG777?

APG777 targets patients with moderate-to-severe atopic dermatitis, affecting millions globally.

Last updated: May 15, 2024