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Centessa Pharmaceuticals Announces Dosing of First Subject in Registrational PRESent-3 Study Evaluating SerpinPC for the Treatment of Hemophilia B with Inhibitors

Key Takeaway: Centessa Pharmaceuticals has initiated dosing for the first subject in its REGISTRATIONAL PRESent-3 study, focused on SerpinPC for hemophilia B with inhibitors. This investigational treatment was previously granted Fast Track designation by the FDA. The study aims to assess the efficacy and safety of SerpinPC, expanding the options for individuals with limited treatment choices. While the company is optimistic about the novel mechanism of action, there are inherent risks associated with the approval process and recruitment for clinical trials.

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POSITIVE FACTORS

  • First subject has been dosed in the registrational PRESent-3 study.
  • SerpinPC is a novel treatment with a unique mechanism of action.
  • Potential to address a significant unmet need in hemophilia B with inhibitors.
  • FDA has granted Fast Track designation for SerpinPC.

CONCERNS & RISKS

  • SerpinPC is still an investigational agent and not yet approved by regulators.
  • Risks associated with trial execution, including recruitment challenges.
  • Business risks related to financial sustainability and ongoing operations.

Full Press Release Details

BOSTON and LONDON, Oct. 31, 2023 (GLOBE NEWSWIRE) -- Centessa Pharmaceuticals plc (Nasdaq: CNTA), a clinical-stage pharmaceutical company focused on discovering and developing medicines that are transformational for patients, today announced the dosing of the first subject in its registrational PRESent-3 study of SerpinPC for the treatment of hemophilia B with inhibitors. The dosing phase of PRESent-3 follows a minimum 12-week observation period during which prospective baseline data of the subject’s disease status under their current therapy are collected to support regulatory review of the benefit and risk profile of SerpinPC. The Company began dosing subjects in the registrational PRESent-2 study for the treatment of hemophilia B without inhibitors in July 2023. SerpinPC is an investigational subcutaneously administered novel inhibitor of activated protein C (APC) being developed as a potential treatment for hemophilia B, with or without inhibitors.
“We are excited to be further evaluating the potential of SerpinPC’s novel mechanism of action in individuals living with hemophilia B with inhibitors, where there are limited treatment options,” said Antoine Yver MD MSc, Chairman of Development of Centessa.
The PRESent-3 study (AP-0103) is a Phase 2b, global, open-label study to investigate the efficacy and safety of subcutaneous dosing of 1.2 mg/kg of SerpinPC every 2 weeks in approximately 12 adult (aged 18 to ≤65 years) or adolescent (aged ≥12 to <18 years) male subjects with hemophilia B (with inhibitors). Subjects must have undergone a minimum period of prospective observation (at least 12 weeks) under their current therapy before switching to SerpinPC treatment. The primary efficacy endpoint for the study is the rate of treated bleeds (expressed as an annualized bleeding rate (ABR)) in the observation period compared to the first 24 weeks treated with SerpinPC.
SerpinPC is a subcutaneously administered novel inhibitor of APC being developed as a potential treatment for hemophilia, regardless of severity or inhibitor status, and which may also be developed to prevent bleeding associated with other bleeding disorders. The registrational program for SerpinPC in hemophilia B includes a set of clinical studies with multiple components. PRESent-5 is an observational feeder study to collect prospective observational data for minimum defined periods before switching to dosing subjects in the interventional studies. The interventional studies include PRESent-2 (moderately severe to severe hemophilia B without inhibitors, and severe hemophilia A with or without inhibitors) and PRESent-3 (hemophilia B with inhibitors). Additional information on the trials can be accessed at www.clinicaltrials.gov (NCT05605678, NCT05789524, NCT05789537). The U.S. Food and Drug Administration (FDA) has granted Fast Track designation to SerpinPC for the treatment of hemophilia B, with or without inhibitors. SerpinPC is an investigational agent that has not been approved by the FDA or any other regulatory authority.
About Centessa Pharmaceuticals
Centessa Pharmaceuticals plc is a clinical-stage pharmaceutical company that aims to discover and develop medicines that are transformational for patients. Our programs span discovery-stage to late-stage development and cover a range of high-value indications. We operate with the conviction that each one of our programs has the potential to change the current treatment paradigm and establish a new standard of care. For more information, visit http://www.centessa.com/, which does not form part of this release.
Forward Looking Statements
This press release contains forward-looking statements. These statements may be identified by words such as “may,” “might,” “will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” “objective,” “anticipate,” “believe,” “estimate,” “predict,” “potential,” “continue,” “ongoing,” “aim,” “seek,” and variations of these words or similar expressions that are intended to identify forward-looking statements. Any such statements in this press release that are not statements of historical fact may be deemed to be forward-looking statements, including statements related to the Company’s ability to discover and develop transformational medicines for patients; its expectations regarding the timing of the interim analysis, the commencement of new studies or clinical trials or clinical and preclinical data related to SerpinPC, and other Company programs (if any); its ability to continue to meet the criteria for Fast Track designation; its ability to be eligible for Accelerated Approval, Priority Review, or Rolling Review; its ability to identify, screen, recruit, register and retain a sufficient number of or any subjects in its existing or anticipated new studies or clinical trials including PRESent-2, PRESent-3 and PRESent-5; its expectations on executing its research and clinical development plans and the timing thereof; the Company’s ability to differentiate SerpinPC and other Company programs (if any) from other treatment options; the development and therapeutic potential of SerpinPC and other Company programs (if any); the Company's ability to present profiles or data of any of the Company's products at scientific meetings and conferences and regulatory matters, including the timing and likelihood of success of obtaining authorizations to initiate or continue clinical trials. Any forward-looking statements in this press release are based on our current expectations, estimates, assumptions and projections only as of the date of this release and are subject to a number of risks and uncertainties that could cause actual results to differ materially and adversely from those set forth in or implied by such forward-looking statements. These risks and uncertainties include, but are not limited to, risks related to the safety and tolerability profile of our product candidates; our ability to maintain Fast Track designation; our ability to identify, screen, recruit and retain a sufficient number of or any subjects in our existing or anticipated new studies or clinical trials including PRESent-2, PRESent-3 and/or PRESent-5; our ability to execute IND-enabling activities in a timely manner or at all; our ability to protect and maintain our intellectual property position; business (including commercial viability), regulatory, economic and competitive risks, uncertainties, contingencies and assumptions about the Company; risks inherent in developing product candidates and technologies; future results from our ongoing and planned clinical trials; our ability to maintain our cash runway and obtain adequate financing, including through our financing facility with Oberland, to fund our planned clinical trials and other expenses into 2026; trends in the industry; the legal and regulatory framework for the industry, including the receipt and maintenance of clearances to conduct or continue clinical testing; future expenditures risks related to our asset-centric corporate model; the risk that any one or more of our product candidates will not be successfully developed and/or commercialized; the risk that the results of preclinical studies or clinical studies will not be predictive of future results in connection with future studies; economic risks to the United States and United Kingdom banking systems; and geo-political risks such as the Russia-Ukraine war. These and other risks concerning our programs and operations are described in additional detail in our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, and our other reports, which are on file with the U.S. Securities and Exchange Commission (SEC). We explicitly disclaim any obligation to update any forward-looking statements except to the extent required by law.
Kristen K. Sheppard, Esq.
SVP of Investor Relations

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Frequently Asked Questions

What is the focus of Centessa Pharmaceuticals?

Centessa Pharmaceuticals focuses on discovering and developing transformational medicines for patients.

What is the PRESent-3 study about?

The PRESent-3 study investigates SerpinPC for treating hemophilia B with inhibitors.

What is SerpinPC used for?

SerpinPC is an investigational treatment for hemophilia B, with or without inhibitors.

What designation has the FDA granted to SerpinPC?

SerpinPC has received Fast Track designation from the FDA for hemophilia B treatment.

What type of study is PRESent-3?

PRESent-3 is a Phase 2b, global, open-label study evaluating SerpinPC's safety and efficacy.

Last updated: Oct 31, 2023