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PASSAGE BIO ANNOUNCES INTERIM DATA FROM UPLIFT-D STUDY IN FTD- GRN AND PROVIDES BUSINESS UPDATES PBFT02 demonstrated durable, elevated CSF PGRN levels and early evidence of reduction in plasma NfL levels, a disease progr

Key Takeaway: Passage Bio announced interim data from its ongoing Phase 1/2 upliFT-D clinical trial evaluating the gene therapy PBFT02 for patients with frontotemporal dementia (FTD) associated with granulin mutations. The data indicated a significant increase in cerebrospinal fluid (CSF) PGRN levels and suggested potential reductions in plasma NfL levels, which correlate with disease progression. The company also revealed plans to transition to an outsourced testing model, extending its financial runway through Q1 2027, while ongoing trials continue to assess safety and efficacy.

Market Sentiment Analysis

POSITIVE FACTORS

  • PBFT02 demonstrated durable and elevated CSF PGRN levels.
  • Initial data shows early evidence of reduction in plasma NfL levels.
  • Transitioning to an outsourced model extended cash runway into Q1 2027.
  • Clinical trial milestones are on track, with data updates expected in 2025.

CONCERNS & RISKS

  • Some treatment emergent adverse events (AEs) were reported, though mostly mild.
  • Two serious adverse events occurred among patients, including venous sinus thrombosis.

Full Press Release Details

PASSAGE BIO ANNOUNCES INTERIM DATA FROM UPLIFT-D
STUDY IN FTD-GRN AND PROVIDES BUSINESS UPDATES
PBFT02 demonstrated durable, elevated CSF PGRN
levels and early evidence of reduction in plasma NfL levels, a disease progression biomarker, compared to published natural history data
Evaluating Dose 2, 50% lower than Dose 1, in
subsequent FTD-GRN and FTD-C9orf72 patients to allow for dose exploration and support regulatory strategy
Expect to report 12-month data from Dose 1
and interim safety and biomarker data from Dose 2 in 2H 2025; plan to seek regulatory feedback on FTD-GRN pivotal trial design in 1H
Completed process development and scale-up
of a high-productivity, suspension-based manufacturing process for PBFT02
Extended cash runway into 1Q 2027 by moving
to outsourced analytical testing model and reducing operating expenses, allowing for the achievement of meaningful program milestones
PHILADELPHIA - January 10, 2025 - Passage
Bio, Inc. (Nasdaq: PASG), a clinical stage genetic medicines company focused on improving the lives of patients with neurodegenerative
diseases, today reported updated data from the ongoing Phase 1/2 upliFT-D clinical trial evaluating PBFT02 for the treatment of
frontotemporal dementia (FTD) with granulin (GRN) mutations and anticipated upcoming milestones. The company also announced the
successful completion of process development and scale-up of a suspension-based manufacturing process for PBFT02. As the PBFT02 program
continues to advance, the company reviewed its operating needs and will transition to an outsourced analytical testing model. This action,
coupled with an associated workforce reorganization and reductions in operating expenses, extends cash runway through meaningful program
milestones into the first quarter of 2027.
"We are pleased to report updated interim data from our ongoing
upliFT-D clinical trial in FTD-GRN patients showing that Dose 1 PBFT02 consistently increased CSF PGRN expression and that this
elevation translated to early signals of improvement in a disease progression biomarker when compared to published natural history data,"
said Will Chou, M.D., president and chief executive officer of Passage Bio. "Given the robust levels of CSF PGRN achieved with
Dose 1 and to support future discussions with health authorities regarding the registrational pathway, we look forward to introducing
Dose 2, which is fifty percent lower than Dose 1, for subsequent FTD-GRN and FTD-C9orf72 patients. We remain focused on
advancing the upliFT-D study in each of these patient populations and look forward to sharing additional data in the second half of 2025."
"As our PBFT02 program advances, we continue to assess our operating
needs to ensure that we can deliver on meaningful program milestones as we endeavor to bring this promising therapy to the FTD patient
community," Dr. Chou continued. "After careful consideration, we will transition to an outsourced analytical testing
model and have restructured our organization and reduced operating expenses accordingly. Following the implementation of these actions,
we expect existing cash resources will be sufficient to fund operations into the first quarter of 2027, which will allow us to further
validate the potential of PBFT02 and determine the registrational pathway for the program. We want to thank our talented team for their
commitment and important contributions as we continue to pursue our mission of improving the lives of patients with neurodegenerative
Updated interim data from FTD-GRN patients treated with
PBFT02 consistently increased CSF PGRN expression in all patients from below 3 ng/mL at baseline to 13 - 27 ng/mL at six months (n=4) and 22 - 34 ng/mL at 12 months (n=2).
CSF PGRN levels generally plateaued by month 6 and have remained durable through the longest available follow-up of 18 months (n=1).
Safety (patient follow-up up to 18 months as of December 9,
In 5 of 7 patients, all treatment emergent adverse events (AEs) were mild to moderate in severity.
2 of 7 patients experienced a total of 3 serious adverse events (SAEs). As previously disclosed, the first treated patient experienced the asymptomatic SAEs of venous sinus thrombosis (VST) and hepatotoxicity, leading to a revised immunosuppression regimen in all subsequent patients (1,000 mg IV methylprednisolone on days 1-3 followed by 60 mg oral prednisone through day 60). Patient 7 also experienced the SAE of VST, which was asymptomatic and completely resolved prior to day 30 following treatment with anticoagulants. This patient had no evidence of hepatotoxicity, immune response or other laboratory abnormalities and remains enrolled in the clinical study.
No evidence of clinically significant immune responses in any patient who received the revised immunosuppression regimen.
No evidence of dorsal root ganglion (DRG) toxicity, as measured by nerve conduction studies, and no complications during intra cisterna magna (ICM) administration were observed across any of the seven treated patients.
Anticipated Upcoming Milestones:
Report 12-month data from Dose 1 and interim safety and biomarker data from Dose 2 in 2H 2025
Seek regulatory feedback on registrational trial design in 1H 2026
About upliFT-D (NCT04747431)
upliFT-D is a Phase 1/2 global, multi-center, open-label clinical
trial of PBFT02 administered by single injection into the cisterna magna in patients aged 35 to 75 years with FTD-GRN or FTD-C9orf72.
The clinical trial will sequentially enroll three FTD-GRN cohorts and two FTD-C9orf72 cohorts. Enrollment is currently
ongoing. The primary endpoint of the clinical trial is to evaluate the safety and tolerability of PBFT02. Secondary endpoints
include disease biomarkers and clinical outcome measures. upliFT-D is a two-year clinical trial with a three-year safety extension.
Passage Bio is pursuing several initiatives to support clinical
trial recruitment and enrollment, including a collaborative partnership with InformedDNA to provide no-cost genetic counseling and testing
for adults who have been diagnosed by their physicians with FTD. More information about upliFT-D can be found here.
PBFT02 is a gene replacement therapy that utilizes an AAV1 viral vector
to deliver, through ICM administration, a functional GRN gene that encodes PGRN. This vector construct and delivery approach aim
to elevate PGRN levels in the central nervous system to alter the course of neurodegenerative diseases. Interim clinical data from the
upliFT-D Phase 1/2 study in FTD-GRN participants shows that ICM administration of PBFT02 resulted in robust PGRN elevations in
The potential clinical benefit of PBFT02 is supported by extensive
preclinical studies. In non-human primates, a single ICM administration of PBFT02 led to broad vector distribution throughout the CNS,
and robust, dose-dependent elevations in PGRN levels in CSF. An NHP study also demonstrated that AAV1 was particularly proficient at
transducing ependymal cells. In a murine FTD model, PBFT02 administration improved lysosomal function and reduced neuroinflammation.
Passage Bio (Nasdaq: PASG) is a clinical stage genetic medicines company
on a mission to improve the lives of patients with neurodegenerative diseases. Our primary focus is the development and advancement of
cutting-edge, one-time therapies designed to target the underlying pathology of these conditions. Passage Bio's lead product candidate,
PBFT02, seeks to treat neurodegenerative conditions, including frontotemporal dementia, by elevating progranulin levels to restore lysosomal
function and slow disease progression.
To learn more about Passage Bio and our steadfast commitment to protecting
patients and families against loss in neurodegenerative conditions, please visit: passagebio.com.
Forward-Looking Statements
This press release contains "forward-looking statements"
within the meaning of, and made pursuant to the safe harbor provisions of, the Private Securities Litigation Reform Act of 1995, including,
but not limited to: our expectations about timing and execution of anticipated milestones, including the outsource of our analytical
testing model, the initiation of dosing of FTD-C9orf72 patients, timing of feedback from regulatory authorities, the progress
of clinical studies and the availability of clinical data from such trials; our expectations about our collaborators' and partners'
ability to execute key initiatives; the financial impact of the restructuring and reduction in workforce and our expectations about cash
runway; and the ability of our product candidates to treat their respective target CNS disorders. These forward-looking statements may
be accompanied by such words as "aim," "anticipate," "believe," "could," "estimate,"
"expect," "forecast," "goal," "intend," "may," "might," "plan,"
"potential," "possible," "will," "would," and other words and terms of similar meaning.
These statements involve risks and uncertainties that could cause actual results to differ materially from those reflected in such statements,
including: our ability to develop and obtain regulatory approval for our product candidates; the timing and results of preclinical studies
and clinical trials; risks associated with clinical trials, including our ability to adequately manage clinical activities, unexpected
concerns that may arise from additional data or analysis obtained during clinical trials, regulatory authorities may require additional
information or further studies, or may fail to approve or may delay approval of our drug candidates; the occurrence of adverse safety
events; the risk that positive results in a preclinical study or clinical trial may not be replicated in subsequent trials or success
in early stage clinical trials may not be predictive of results in later stage clinical trials; failure to protect and enforce our intellectual
property, and other proprietary rights; our dependence on collaborators and other third parties for the development and manufacture of
product candidates and other aspects of our business, which are outside of our full control; risks associated with current and potential
delays, work stoppages, or supply chain disruptions; and the other risks and uncertainties that are described in the Risk Factors section
in documents the company files from time to time with the Securities and Exchange Commission (SEC), and other reports as filed with the
SEC. Passage Bio undertakes no obligation to publicly update any forward-looking statement, whether written or oral, that may be made
from time to time, whether as a result of new information, future developments or otherwise.
For further information, please contact:
Sam Brown Inc. Healthcare Communications
i Saracino et al, J Neurol Neurosurg Psych 2021;

Frequently Asked Questions

What did the interim data from upliFT-D study show?

The interim data revealed that PBFT02 increased CSF PGRN levels and indicated early improvement in a disease progression biomarker.

When will interim data from Dose 2 be reported?

Interim safety and biomarker data from Dose 2 will be reported in the second half of 2025.

What is the aim of the PBFT02 therapy?

PBFT02 aims to elevate progranulin levels to restore lysosomal function in neurodegenerative diseases.

How has Passage Bio extended its cash runway?

Passage Bio extended its cash runway by transitioning to an outsourced testing model and reducing expenses.

What are the upcoming milestones for Passage Bio?

Upcoming milestones include reporting 12-month data from Dose 1 and seeking regulatory feedback in 1H 2026.

Last updated: Jan 10, 2025