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Baseline characteristics of patients that have completed therapy Patient Age Sex COl4 Gene Affected Nonsense Mutation RAAS Block dose Cr (mg/dL) Proteinuria (mg/g) 4401 - 01 13 Male COL4A4 c.2906C G*; p.Ser969X Enalapr

Key Takeaway: The article presents preliminary results from a Phase 2 study on Alport syndrome patients undergoing treatment with Enalapril. Notably, patient 4401 - 02 experienced a significant reduction in proteinuria, achieving partial remission after eight weeks. However, the other two patients did not exhibit marked changes in their condition, indicating variability in treatment response. The findings suggest potential benefits of the therapy, while also highlighting the need for further investigation.

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POSITIVE FACTORS

  • Significant reduction in proteinuria observed in one Alport patient
  • Patient 4401 - 02 achieved partial remission after treatment
  • Average UPCR change of approximately 49% during treatment period

CONCERNS & RISKS

  • No change in proteinuria for two out of three patients after ELX - 02 treatment
  • Treatment response not consistent across all patients

Full Press Release Details

/ 1 Baseline characteristics of patients that have completed therapy Patient Age Sex COl4 Gene Affected Nonsense Mutation RAAS Block dose Cr (mg/dL) Proteinuria (mg/g) 4401 - 01 13 Male COL4A4 c.2906C>G*; p.Ser969X Enalapril 2.5 mg QD 0.7 1299 4401 - 02 13 Male COL4A4 c.2906C>G*; p.Ser969X Enalapril 32.5 mg QD 0.5 1646 4402 - 01 19 Female COL4A4 c.2906C>G*; p.Ser969X Enalapril 5 mg QD 1.31 1645 * Most common mutation in the UK Patients had autosomal recessive disease with differing levels of background RAAS blockade
/ 2 Phase 2 Alport patient results to date 539 678 1,299 1,646 1,659 1,799 850 2,209 0 500 1000 1500 2000 2500 3000 3500 4401-01 4401-02 4402-01 Urine Protein/Urine Creatinine (mg/g) -1 year Baseline Average of treatment period* * UPCR averaged over 6 values collected in 8 weeks for 4401 - 01 and 4401 - 02. UPCR values collected for 4401 - 01 and 4401 - 02 at wee k 6 were excluded as they were deemed to be unreliable due to inconsistent processing during Easter holidays and inconsistency with the clinical presentation. All 8 UPCR values inc lud ed for 4401 - 02 Remission in one Alport patient with an approx. 50% reduction from baseline p=0.189 - 49% p=0.009 Patient 4401 - 02 achieved partial remission after completing 8 weeks of treatment Average reduction of baseline ~50% 5 out of 8 UPCR readings were on average 53% below baseline p=0.15
/ 3 Proteinuria (UPCR) change in patient 4401 - 02 1,646 845 707 2,938 1,028 1,816 1,554 0 500 1000 1500 2000 2500 3000 3500 4000 Baseline Week 2 Week 4 Week 6 Week 8 week 12 (f/u) week 16 (f/u) Urine protein/Cr (mg/G) * UPCR averaged over 6 values collected in 8 weeks. UPCR values collected at week 6 were excluded as they were deemed to be u nre liable due to inconsistent processing during Easter holidays and inconsistency with the clinical presentation Rapid remission in Patient 4401 - 02 with rebound 1 month after withdrawing treatment very encouraging Treatment period Average UPCR change =~49%*
/ 4 Proteinuria change in patient 4401 - 01 and 4402 - 01 Patient 4401 - 01 UPCR change over treatment Patient 4402 - 01 UPCR change over treatment 1,659 1,403 3,522 1,828 2,635 1,280 0 500 1000 1500 2000 2500 3000 3500 4000 Baseline Week 2 Week 4 Week 6 Week 8 Week 12 f/u Urine protein/Cr (mg/G) No change in other 2 patients after ELX - 02 treatment 1,299 1,216 1,943 2,155 2,466 2,018 1,846 0 500 1000 1500 2000 2500 3000 3500 4000 Baseline Week 2 Week 4 Week 6 Week 8 Week 12 f/u Week 16 f/u Urine protein/Cr (mg/G) Treatment period Treatment period

Frequently Asked Questions

What was the key mutation in the patients?

The most common mutation identified was COL4A4 c.2906C>G*; p.Ser969X.

What therapy was administered to the patients?

Patients received Enalapril at varying doses, from 2.5 mg to 32.5 mg daily.

What was the outcome for patient 4401-02?

Patient 4401-02 achieved partial remission after 8 weeks, with nearly 50% protein reduction.

Did all patients show improvement in proteinuria?

No, only patient 4401-02 showed significant improvement; others had no change.

What factors affected UPCR readings?

UPCR readings were affected by processing inconsistencies during holidays and clinical presentation.

Last updated: Jul 13, 2023