dm+d

Unassigned

New Medicines

Mucopolysaccharidosis IIIA (MPS IIIA - Sanfilippo syndrome)

Information

New molecular entity
Abeona Therapeutics
Abeona Therapeutics

Development and Regulatory status

None
Phase II Clinical Trials
Phase II Clinical Trials
Yes
Yes
Nov 20Abeona anticipates submitting a marketing authorisation application for EU conditional approval of ABO-102 for MPS IIIA in 2023. The Company is also seeking guidance from the US FDA regulatory path for ABO 102 in MPS IIIA [5].
Nov 20Abeona continues process development activities at its manufacturing facility in Cleveland, Ohio to enable in-house manufacturing of commercial supply of ABO-102 and ABO-101 [6].
Nov 20ABO-102 has orphan drug status in US and FDA, plus rare pediatric disease, fast track and regenerative medicine advanced therapy (RMAT) status in US and PRIME status in EU [2].

Category

An adeno-associated viral (AAV9)-based gene therapy involving a one-time intravenous infusion of a genetically modified adeno-associated virus (AAV) to deliver a normal copy of the defective gene to cells of the central nervous system + peripheral organs
Mucopolysaccharidosis III is considered the most common of the mucopolysaccharidosis genetic disorders, occurring with an incidence of 1 in 70,000 newborns. Sanfilippo syndrome results from the deficiency or absence of 4 different enzymes that are necessary to degrade the GAG heparan sulfate. Each enzyme deficiency defines a different subtype of Sanfilippo syndrome, as follows: type IIIA (Sanfilippo A), type IIIB (Sanfilippo B), type IIIC (Sanfilippo C), and type IIID (Sanfilippo D) [1].
Mucopolysaccharidosis IIIA (MPS IIIA - Sanfilippo syndrome)
Intravenous infusion

Trial or other data

Nov 20Target enrolment in the ABO-102 Transpher A study for MPS IIIA (15 to 22 patients) has been achieved. To date, 18 patients have been dosed in the Transpher A study, including 12 patients dosed in cohort 3. Abeona intends to continue enrolling patients into the study through Q1 21 given the lack of treatment options for MPS IIIA and encouraging efficacy and safety data from cohort 3 [6].
Sep 20PI/II studies (ABT001 and ABT003) are recruiting. There are no UK trial sites [3].
May 19PI/II gene therapy trial of ABO 102 in patients with middle and advanced phases of the Mucopolysaccharidosis IIIA disease starts (NCT04088734; ABT-003). The primary end point of the trial is to determine the safety by the incidence, type and severity of treatment-related adverse events and serious adverse events, change from baseline in CSF heparan sulfate levels after treatment and change from baseline in liver and/or spleen volumes after treatment, as measured by magnetic resonance imaging (MRI). The open-label trial is recruiting 12 patients in Spain, Australia and the US. Collection of primary outcome data is expected to complete Dec 23 [3].
Dec 18Abeona will expand the PI/II Transpher A trial to enrol patients at earlier stages of disease [5].
May 18Abeona announces clinical data from the ongoing PI/II Transpher A trial demonstrating robust and durable clinical effects achieved throughout various timepoints post-administration. To date, 11 patients have been dosed with a single intravenous injection of ABO-102. A supportive natural history study (Truxal et. al., 2016, Mol. Genet. Metab.) in MPS IIIA demonstrated that subjects showed, on average, 2.2 times increased liver volumes over normal. ABO-102 is well-tolerated in all subjects to date, with no drug-related serious adverse events (SAE) reported through over 4,200 cumulative days post-injection [4].
Mar 16PI/II Transpher A trial to assess the safety, tolerability and potential efficacy of ABO 102 in children with MPS IIIA starts (ABT001; MPS-IIIA; NCT02716246). The open-label trial intends to enrol 22 patients in the US, Spain and Australia. The trial will enrol patients six months to two years of age, or patients exceeding two years with a cognitive Developmental Quotient of 60% or above. Primary outcomes are safety and change from baseline in age equivalent developmental score; collection of these data is due to complete Dec 22 [3].