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uniQure Announces Clinical Update on First Patients in Phase I/II Clinical Trial of AMT-130 Gene Therapy for the Treatment of Huntington's Disease ~ Treatment was well tolerated with no significant safety issues related

Key Takeaway: uniQure Announces Clinical Update on First Patients in Phase I/II Clinical Trial of AMT-130 Gene Therapy for the Treatment of Huntington's Disease ~ Treatment was well tolerated with no significant safety issues related to AMT-130 in first two treated patients through one

Full Press Release Details

uniQure Announces Clinical
Update on First Patients in Phase I/II Clinical Trial of
AMT-130 Gene Therapy
for the Treatment of Huntington's Disease
~ Treatment was well tolerated
with no significant safety issues
related to AMT-130 in first
two treated patients through one year of follow-up ~
~ Neurofilament Light Chain
(NfL) rose as expected immediately following surgery and
returned to baseline in
~ A total of 19 patient
procedures have been performed in the U.S. Phase I/II clinical trial,
with higher-dose cohort
enrollment expected to be completed by mid-2022 ~
~ Screening initiated
in European open-label Phase I/II study ~
~ Conference call today
Lexington, MA and Amsterdam, the Netherlands,
December 16, 2021 - uniQure N.V. (NASDAQ: QURE), a leading gene therapy company advancing transformative therapies
for patients with severe medical needs, today announced initial observations on the first four patients enrolled in the lower-dose cohort
of its ongoing Phase I/II clinical trial of AMT-130 for the treatment of Huntington's disease. Two of the four enrolled patients
received AMT-130, and two patients experienced an imitation (sham) surgery in this randomized, blinded clinical trial being conducted
in the United States.
"We are pleased with these data that support
the tolerability of AMT-130, a potential one-time gene-therapy approach for Huntington's disease," stated Ricardo Dolmetsch,
Ph.D., president of research and development at uniQure. "Neurofilament light chain, a key biomarker of injury in the brain, trended
downward and returned to baseline levels in the treated patients, and structural MRI data are consistent with the safety profile of AMT-130.
Based on recommendations of the DSMB and steering committee, we will disclose efficacy data including volumetric MRI changes once all
patients in the first two cohorts are unblinded. We look forward to evaluating safety, biomarker and functional data on a larger number
of patients and over a longer period during the ongoing study."
"AMT-130 appears to be generally well tolerated
both immediately after surgical administration and at one year of follow up in these four patients," stated Jody Corey-Bloom, M.D.,
PhD, professor of neurosciences at University of California, San Diego and chairperson of the Data Safety Monitoring Board (DSMB) for
AMT-130. "We are encouraged by the early data in two treated patients and will continue to provide comprehensive safety oversight
of the program as additional patients are enrolled and the trial expands into Europe. The DSMB will continue to oversee the conduct of
this important program, and will evaluate safety, biomarker, imaging, and functional data as the program advances."
One-Year Observations on AMT-130
The first four patients were a heterogeneous
group representing a spectrum of Stage I-II early manifest disease with 41-44 CAG repeats, baseline Total Functional Capacity scores
of 10-13 and Total Motor Scores of 7-23.
A clinical update on the low-dose cohort of ten
patients, largely focused on safety, is expected in the second quarter of 2022 after patient unblinding. Full safety and efficacy data
from the first two cohorts in the Phase I/II clinical trial are expected in the first half of 2023 after all patients in the higher-dose
cohort have achieved one year of follow-up.
Planned Expansion of Phase I/II Studies of AMT-130
The U.S. Phase I/II clinical trial of AMT-130
for the treatment of Huntington's disease is exploring the safety, tolerability, and efficacy signals in a planned 26 total patients
with early manifest Huntington's disease split into a 10 patient, low-dose cohort followed by a 16 patient, higher-dose cohort;
patients will be randomized to treatment with AMT-130 or an imitation (sham) surgery. The multi-center trial consists of a blinded 12-month
core study period followed by unblinded long-term follow-up for five years. A total of 16 patients in the clinical trial will receive
a single administration of AMT-130 through MRI-guided, convection-enhanced stereotactic neurosurgical delivery directly into the striatum
(caudate and putamen).
to initiate a third cohort in the ongoing U.S. Phase I/II clinical trial in the second half of 2022 that will explore the use of alternative
stereotactic navigation systems to simplify placement of catheters for infusions of AMT-130. This will be explored in two steps and include
up to 18 additional randomized patients who will receive the higher dose of 6x1013
The European, open-label Phase Ib/II study of
AMT-130 will enroll 15 patients with early manifest Huntington's disease across two dose cohorts. Screening has been initiated,
and the first procedures in the lower-dose cohort are expected to be complete in early 2022. Together with the U.S. study, the European
study is intended to establish safety, proof of concept, and the optimal dose of AMT-130 to take forward into Phase III development or
into a confirmatory study should an accelerated registration pathway be feasible.
AMT-130 is uniQure's
first clinical program focusing on the central nervous system (CNS) incorporating its proprietary miQURE
Investor Conference Call and Webcast Information
uniQure management will host an investor
conference call and webcast today, Thursday, December 16, 2021, at 8:30 a.m. ET. The conference call may be accessed by
dialing (833) 962-1471 for domestic callers and +44 0800 0288 438 for international callers. The conference call ID: 2866185.
Please specify to the operator that you would like to join the "uniQure Conference Call." If you are joining the
conference call, please dial-in 15 minutes before the start time. The webcast of the conference call may also be accessed through
the Investors & Newsroom section of the uniQure website. Following the live webcast, a replay of the call will be
archived for several weeks.
About Huntington's Disease
Huntington's disease is a rare, inherited
neurodegenerative disorder that leads to motor symptoms including chorea, and behavioral abnormalities and cognitive decline resulting
in progressive physical and mental deterioration. The disease is an autosomal dominant condition with a disease-causing CAG repeat expansion
in the first exon of the huntingtin gene that leads to the production and aggregation of abnormal protein in the brain. Despite the clear
etiology of Huntington's disease, there are no currently approved therapies to delay the onset or to slow the disease's progression.
uniQure is delivering on the promise of gene
therapy - single treatments with potentially curative results. We are leveraging our modular and validated technology platform
to rapidly advance a pipeline of proprietary gene therapies to treat patients with hemophilia B, Huntington's disease, Fabry disease,
spinocerebellar ataxia Type 3 temporal lobe epilepsy, Alzheimer's, Parkinson's and ALS. www.uniQure.com
uniQure Forward-Looking Statements
This press release contains forward-looking
statements. All statements other than statements of historical fact are forward-looking statements, which are often indicated by terms
such as "anticipate," "believe," "could," "estimate," "expect," "goal," "intend,"
"look forward to", "may," "plan," "potential," "predict," "project," "should,"
"will," "would" and similar expressions. Forward-looking statements are based on management's beliefs and assumptions
and on information available to management only as of the date of this press release. These forward-looking statements include, but are
not limited to, whether we will be able to evaluate data on a larger number of patients or over a longer period during the ongoing study;
whether safety data on the first cohort of ten patients will be available in the second quarter of 2022 or ever; whether full safety
and efficacy data from the Phase I/II clinical trial will be available for cohorts 1 and 2 in the first half of 2023 or ever; whether
16 patients or any patients in the clinical trial will receive a higher dose administration of AMT-130; whether we will initiate a third
cohort in the ongoing U.S. Phase I/II clinical trial in the second half of 2022 or ever; whether we will enroll 15 patients or any patients
in a European, open-label Phase Ib/II study of AMT-130; whether we will complete the first procedures in the low-dose cohort of the European
study in early 2022 or ever; whether the European study will establish safety, proof of concept, or the optimal dose of AMT-130 to take
forward into Phase III development or into a confirmatory study or for any purpose; and whether an accelerated registration pathway will
be feasible or available at all. Our actual results could differ materially from those anticipated in these forward-looking statements
for many reasons, including, without limitation, risks associated with the impact of the ongoing COVID-19 pandemic on our Company and
the wider economy and health care system, our Commercialization and License Agreement with CSL Behring, our and our collaborators'
clinical development activities, clinical results, collaboration arrangements, corporate reorganizations and strategic shifts, regulatory
Last updated: Dec 16, 2021