- As previously reported, lenabasum did not meet its primary efficacy endpoint in the study
- Lenabasum was well tolerated with no new safety findings
- Exploratory post-hoc analyses revealed unexpectedly low pulmonary exacerbation (PEx) rates in subjects from five eastern European countries (21% of total subjects) who received placebo; PEx rates in these subjects were 85% lower than in subjects from other countries
- Post-hoc analyses in subjects with similar FEV1% predicted at baseline and similar treatment with CFTR-modulators suggested evidence of clinical benefit of lenabasum
- Company to continue discussions and data analyses with CF experts
Norwood, MA, Oct. 23, 2020 (GLOBE NEWSWIRE) -- Corbus Pharmaceuticals Holdings, Inc. (NASDAQ: CRBP) (“Corbus” or the “Company”), a clinical-stage drug development company pioneering transformative medicines that target the endocannabinoid system, today announced the presentation of the preliminary data from its 28 week Phase 2b study of lenabasum in patients with cystic fibrosis (CF) at the North American Cystic Fibrosis Conference (NACFC) held online, Oct 7-23, 2020. The data are being presented in poster number 817 titled: “CB2 Agonist, Lenabasum, for the Treatment of Pulmonary Exacerbations in Cystic Fibrosis.” These data can be found at the following link: NACFC Poster #817
James Chmiel, M.D., MPH, Principal Investigator of CF-002 and Division Chief for Pediatric Pulmonology, Allergy and Sleep Medicine and Professor of Pediatrics at Indiana University School of Medicine said, “This was the first interventional study in CF to select for patients who have high rates of pulmonary exacerbations and one of the largest CF studies to date. The negative impact of recurrent pulmonary exacerbations on the health and quality of life of people with CF cannot be overstated, nor can the need to find non-immunosuppressive treatments to control the lung inflammation that causes these events.” Dr. Chmiel commented further, “While I am disappointed that the study did not achieve its primary endpoint, I am encouraged by findings of potential reduction in exacerbation rates in subjects with similar lung function and treatment with CFTR-modulators. I look forward to further analyses of the data, because they may confirm the initial clinical rationale to continue development of lenabasum for treatment of pulmonary exacerbations in people with CF.”
Summary of findings:
- Disposition, baseline demographics, and baseline disease characteristics and treatments were as expected (Tables 1 and 2 as presented in the poster). Enrolled subjects had significantly impaired mean baseline FEV1 and between 2-7 PEx in the prior year, despite background treatments reported to reduce PEx rates.
- Lenabasum did not meet its primary efficacy endpoint of reducing the rate of PEx. PEx rates per subject per 28 weeks were as follows: 0.85, 0.75 and 0.90 for placebo, 5 mg, and 20 mg doses, respectively (Table 3).
- Mean baseline FEV1 % predicted was similar across treatment groups, approximately 60% predicted. No significant differences among treatment groups were seen in change in FEV1% predicted (Table 4).
- Lenabasum was safely administered and well tolerated in this study, with no new safety findings. Dizziness, fatigue, and dry mouth were among adverse events that occurred in ≥ 2% of subjects in the lenabasum group versus the placebo group (Tables 5 and 6).
- Exploratory post-hoc analyses of the placebo group revealed that subjects from 5 eastern European countries (accounting for 21% of study participants) had PEx rates that were about 85% lower than in subjects from other countries (shown for placebo group in Table 7).
- Exploratory post-hoc analyses of the placebo group excluding subjects from these 5 countries also showed differences in PEx rates among subjects with different baseline disease characteristics or background treatments (Table 8).
- Exploratory post-hoc analyses, excluding subjects from these 5 countries, are presented for subjects with more severe baseline airways obstruction (FEV1 ≥ 40% to < 70% predicted) and those with less severe airways obstruction at baseline (FEV1 ≥ 70% to < 90% predicted). These groups were further separated into subjects receiving CFTR-modulating drugs and those who did not. Lenabasum was associated with a reduction in PEx rates in a number of these subsets where the magnitude of change ranged from 27% - 61% (Table 9).
CF-002 was a multinational Phase 2b study evaluating the efficacy and safety of lenabasum in CF. This was a double-blind, randomized, placebo-controlled study, with dosing of lenabasum at 5 mg twice per day, lenabasum 20 mg twice per day or placebo twice per day for 28 weeks, with 4 weeks safety follow-up off active treatment. The primary efficacy endpoint was the event rate of new PEx per subject per 28 weeks, when the primary definition of new PEx was physician diagnosis of PEx, prescription of new antibiotics for that PEx starting more than 28 days after completion of the last antibiotic course for any previous PEx, with 4 out of 12 Fuch’s criteria present in the subject. The Phase 2b CF study was funded in part by a Therapeutic Development Award for up to $25 Million from the Cystic Fibrosis Foundation.
Lenabasum is a novel, oral, small molecule that selectively binds as an agonist to the cannabinoid receptor type 2 (CB2) and resolves inflammation and limits fibrosis in animal and human models of disease. CB2 is preferentially expressed on activated immune cells and on fibroblasts, muscle cells, and endothelial cells. Lenabasum has demonstrated acceptable safety and tolerability profiles and has not been immunosuppressive in clinical studies to date.
Corbus Pharmaceuticals Holdings, Inc. is a clinical-stage company focused on the development and commercialization of novel medicines designed to target the endocannabinoid system. The Company’s lead product candidate, lenabasum, is a novel, oral, selective cannabinoid receptor type 2 (CB2) agonist that resolves chronic inflammation and limits fibrosis in animal and human models. Lenabasum is currently being evaluated in dermatomyositis and systemic lupus erythematosus. Corbus is also developing a pipeline of other preclinical drug candidates from its endocannabinoid system platform.
Lenabasum is not approved for the treatment of any indication. For more information on Corbus’ clinical programs, please visit here.
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