百特A型血友病药物Advate长效版——BAX855完成III期临床试验

百特A型血友病药物Advate长效版——BAX855完成III期临床试验

                               
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发布日期：2014-08-27  来源：pharmabiz  

百特公司（Baxter）的A型血友病药物Advate的长效版——BAX855近期已完成III期临床试验，预计年底之前将会向监管机构提交相关上市申请。

                               
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BAX855是Advate的聚乙二醇衍生物，而Advate是目前市场上领先的重组凝血因子VIII产品。但Advate也有一些具有长效特征的竞争对手，如Biogen Idec公司刚刚上市的Eloctate，以及Bayer公司处于研发后期的BAY94-9027。

Baxter的新药BAX 855在138名12岁以上A型血友病患者中展开临床试验，评价与单独按需治疗相比，BAX 855既作为预防治疗又作为按需治疗在减少出血频率方面的差异。

临床试验的首要衡量指标是年出血频率，BAX 855既作为预防治疗又作为按需治疗的年出血率平均为1.9次，而只作为按需治疗的年出血率多达41.5次。

长效药物BAX 855可以明显控制出血事件，输注1到2个剂量即可解决96%的出血事件。

参加试验的患者均没有产生抗药性，也没有如过敏等与治疗相关的严重不良反应的报告。

Baxter生物科学研发部门负责人John Orloff讲到，“BAX 855临床研究的积极结果反映了我们不间断的、长期致力于推动创新，并为血友病患者提供新的治疗选择的承诺”。

Baxter最近刚刚宣布已把旗下年销售额达60亿美元的生物制药业务从其医疗产品部门分离出来。尽管Biogen Idec用于B型血友病的长效药物Alprolix将与Baxter新获批的Rixubis展开竞争，7月Baxter还是上调了血友病药物特许经营的财务预期。

Baxter将在美国提交BAX 855的相关上市申请，并且Baxter正按照相关要求在60个12岁以下儿童中进行60例患者的临床试验，以便进入欧洲市场。

Baxter's phase 3 study of BAX 855 for treatment of haemophilia A meets primary endpoint

Baxter International Inc.,a global, diversified healthcare company, announced positive results from its phase 3 pivotal clinical trial of BAX 855, an investigational, extended half-life recombinant factor VIII (rFVIII) treatment for haemophilia A based on ADVATE [Antihemophilic Factor (Recombinant)], which met its primary endpoint in reducing annualized bleed rates (ABR) in the prophylaxis arm compared to the on-demand arm.

Top-line results from the prospective, global, multi-center phase 3 study demonstrated that BAX 855 met its primary endpoint in the control and prevention of bleeding, routine prophylaxis and perioperative management for patients who were 12 years or older. Patients in a twice-weekly prophylaxis arm experienced a 95 percent reduction in median ABR as compared to those in the on-demand arm (1.9 vs. 41.5, respectively). BAX 855 was also effective in treating bleeding episodes, 96 percent of which were controlled with one or two infusions. The half-life of BAX 855 was 1.4 - 1.5 times that of ADVATE, consistent with the findings from the phase 1 study. No patients developed inhibitors to BAX 855 and no treatment-related serious adverse events, including hypersensitivity, were reported. The most common (three patients) product-related adverse event was headache.

"The positive results of the BAX 855 study reflect our ongoing, long-term commitment to drive innovation and expand treatment options for patients with haemophilia," said John Orloff, M.D., vice president and global head of research and development for Baxter BioScience. "We look forward to advancing the BAX 855 programme to US regulatory submission by the end of this year."

The multi-center, open-label study evaluated BAX 855 among 138 adolescent and adult patients with previously-treated haemophilia A. Patients received treatment twice weekly (45 IU/kg) or on-demand, and were followed for six months. The primary objective of the study was the reduction in ABR during the treatment period compared to on-demand treatment. The study also evaluated the safety and immunogenicity of the compound when administered on either prophylaxis or on-demand treatment regimens.

Baxter expects to submit a Biologics License Application (BLA) for BAX 855 to the US Food and Drug Administration (FDA) before the end of 2014 and will present additional data in the coming months. In addition to an ongoing continuation study for patients who have completed the pivotal trial, the company is initiating a phase 3, prospective, open-label, multi-center study to evaluate the safety and efficacy of BAX 855 among 60 previously treated patients under the age of 12 with severe haemophilia A. Consistent with guidelines published by the European Medicines Agency (EMA) that require a study in children less than 12 years of age prior to filing, Baxter expects to file a Marketing Authorization Application with the EMA upon the completion of the paediatric study.

BAX 855 is based on ADVATE, a full-length FVIII molecule with more than 10 years of real-world experience. Through a collaboration with Nektar Therapeutics, BAX 855 leverages proprietary PEGylation technology designed to extend the duration of activity of proteins in the body. This proprietary technology has been used for over 10 years in a number of approved medicines that treat chronic or serious conditions..

ADVATE is a recombinant antihemophilic factor indicated for use in children and adults with haemophilia A (congenital factor VIII deficiency or classic haemophilia) for: Control and prevention of bleeding episodes; Perioperative management; Routine prophylaxis to prevent or reduce the frequency of bleeding episodes.

ADVATE is not indicated for the treatment of von Willebrand disease.

ADVATE has a demonstrated efficacy and safety profile. ADVATE is a full-length (derived from the complete FVIII gene) recombinant FVIII product that is processed without any blood-based additives. Because no blood-derived components are added at any stage of the manufacturing process, the potential risk of transmitting pathogens that may be carried in blood-based additives is eliminated. There have been no confirmed reports of transmission of HIV, HBV or HCV with rFVIII treatments.

ADVATE is approved in 64 countries worldwide, including the United States, Canada, 27 countries in the European unio, Algeria, Argentina, Australia, Brazil, Chile, China, Colombia, Croatia, Ecuador, Hong Kong, Iceland, Iraq, Japan, Kuwait, Macau, Malaysia, Mexico, Morocco, New Zealand, Norway, Panama, Puerto Rico, Russia, Serbia, Singapore, South Korea, Suriname, Switzerland, Taiwan, Tunisia, Turkey, Ukraine, Uruguay, and Venezuela.

Baxter has more than 60 years experience in haemophilia and has introduced a number of therapeutic firsts for haemophilia patients. Baxter has the broadest portfolio of haemophilia treatments in the industry and is able to meet individual therapy choices, providing a range of options at each treatment stage. The company's work focuses on optimizing haemophilia care and improving the lives of people worldwide living with bleeding disorders.

Baxter International Inc., through its subsidiaries, develops, manufactures and markets products that save and sustain the lives of people with hemophilia, immune disorders, cancer, infectious diseases, kidney disease, trauma and other chronic and acute medical conditions.

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