Arrowhead Pharma’s RNA treatment reduced toxic protein levels An experimental RNA-based treatment sharply reduced levels of a toxic, mutated protein that causes liver damage in patients with an inherited disease called alpha-1 antitrypsin deficiency, or AATD, according to results from a mid-stage clinical trial presented Saturday by its maker Arrowhead Pharmaceuticals. The treatment, called fazirsiran (formerly ARO-AAT) is being developed in a partnership with the Japanese drugmaker Takeda Pharmaceuticals. All 16 patients in the study given injections of fazirsiran responded to the treatment, with a median reduction of mutant AAT protein reaching 83% at week 24 or 48. All patients showed corresponding reductions in related protein and enzyme biomarkers associated with liver damage. At the highest doses of fazirsiran tested in the study, seven of 12 patients had reversal of liver fibrosis, including two patients with cirrhosis. The study results were also published Saturday in the New England Journal of Medicine. AATD is a genetic disease that prevents the liver from making a protein called AAT needed to protect lung tissue from being damaged by other enzymes. People born with AATD either don’t make enough AAT, or the protein is abnormal and isn’t released into the bloodstream. A buildup of abnormal AAT damages the liver. Serious lung injury caused by the absence of the protective protein typically follows. Arrowhead and Takeda are developing fazirsiran to address the liver damage caused by AATD. The drug works by silencing the defective gene that produces the abnormal, or mutated AAT protein. Fazirsiran is unable to address the need for protective AAT protein to reach the lungs, so patients also require regular infusions of replacement AAT protein. Vertex Pharmaceuticals has taken a different approach to treating AATD with drugs designed to produce healthy, functional AAT protein, but so far, the work has not been successful. A larger, potentially pivotal, placebo-controlled clinical trial of fazirsiran is currently underway. Arrowhead and Takeda expect results to read out later this year. |
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