bluebird bio (BLUE) to Present New Data from Three LentiGlobin Studies at ASH
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bluebird bio, Inc. (Nasdaq: BLUE), a clinical-stage company committed to developing potentially transformative gene therapies for severe genetic diseases and T cell-based immunotherapies for cancer, announced that data from its ongoing clinical studies of LentiGlobin drug product in transfusion-dependent β-thalassemia (TDT) and severe sickle cell disease (SCD) will be highlighted in oral and poster presentations at the 58th Annual Meeting of the American Society of Hematology (ASH). Preliminary data in these abstracts became available on the ASH conference website at 9:00 am ET today.
“In Northstar, the largest study of gene therapy in patients with TDT to date, all patients have demonstrated robust expression of therapeutic hemoglobin, or HbAT87Q, with a safety profile that is consistent with autologous transplantation. We are particularly pleased to see that, across the Northstar and HGB-205 studies, all patients with non-β0/β0 genotypes and at least 12 months of follow-up remained free of transfusions for up to 31 months, adding to the growing body of evidence supporting the potential for LentiGlobin to become a transformative therapy for these patients. Additionally, we have seen clinically meaningful reductions in transfusions for patients with β0/β0 genotypes. We believe that the implementation of manufacturing process 2 going forward has the potential to further reduce transfusion requirements for patients with β0/β0 genotypes, and we will evaluate that hypothesis in our planned Phase 3 HGB-212 trial,” said David Davidson, M.D., chief medical officer, bluebird bio. “In SCD, the therapeutic promise of LentiGlobin is demonstrated by the sustained benefit observed in patient 1204 in the HGB-205 study, and we have implemented numerous protocol modifications to optimize outcomes in patients treated in the HGB-206 study. As we highlighted at our recent Gene Therapy Day, we believe amendments to the study protocol aimed at optimizing cell dose, transduction efficiency and myeloablation will improve engraftment of gene-modified cells – and ultimately increase HbAT87Q production in patients with SCD. All patients treated in the HGB-206 study going forward will be treated under this modified protocol, and we look forward to seeing initial clinical results in 2017 reflecting these changes.”
bluebird bio Presentations
LentiGlobin Gene Therapy for Transfusion-Dependent β-Thalassemia: Update from the Northstar (HGB-204) Phase 1/2 Clinical Study (Abstract #1175)
Presenter: Alexis Thompson, M.D., M.P.H., Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, ILDate: Monday, December 5, 2016, 5:30 pm PTSession: 801. Gene Therapy and Transfer: Gene Therapy for Benign Hematologic Diseases
Abstract Results, as of June 27, 2016 Data Cut-off:
- Eighteen patients have received LentiGlobin drug product: eight with β0/β0 genotypes and 10 with non-β0/β0 genotypes
- The median vector copy number (VCN) in drug product (DP) was 0.7 (range: 0.3 – 1.5 copies/diploid genome) and the median cell dose was 8.1 x 106 CD34+ cells/kg (range: 5.2 – 18.1 x 106 cells/kg)
- The median in vivo VCN in patients with at least six months of follow-up was 0.4 copies/diploid genome (range: 0.2-1.0; n=13)
- Patients of all genotypes with at least six months of follow-up (n=14) achieved a median HbAT87Q level of 4.7 g/dl and robust HbAT87Q production was sustained in the 10 patients with ≥12 months of follow-up
- All patients with non-β0/β0 genotypes and at least 12 months follow-up (n=5) have discontinued transfusions and remain free of transfusions (median 19.4 months without transfusion; range: 15.3 to 24.0 months)
- All patients with β0/β0 genotypes have considerably reduced transfusion requirements (median 60% reduction; from median 171.9 ml/kg/year at baseline [range: 168.1- 223.2 ml/kg/year] to 67.8 ml/kg/year post-treatment [range: 14.8 to 123.7 ml/kg/year])
- The safety profile remains consistent with autologous stem cell transplantation with no ≥ Grade 3 drug product-related adverse events (AEs) reported
Update from the HGB-205 Phase 1/2 Clinical Study of LentiGlobin Gene Therapy: Sustained Clinical Benefit in Severe Hemoglobinopathies (Abstract #2311)
Presenter: Marina Cavazzana, M.D., Ph.D., Hôpital Universitaire Necker – Enfants Malades, Paris, FranceDate: Saturday, December 3, 2016, 5:30 – 7:30 pm PTPoster Session: 801. Gene Therapy and Transfer: Poster I
Abstract Results, as of July 2016 Data Cut-off:
- One patient with severe SCD (male; 13 years old) and four patients with TDT (two male, two female; 16-19 years old) have received LentiGlobin drug product
- The median LentiGlobin drug product cell dose was 8.9 (range: 5.6 – 13.6) x 106 CD34+ cells/kg with a median DP VCN of 1.2 (range: 0.8 – 2.1) vector copies/diploid genome. In vivo VCN remained generally consistent from Month 3 in all patients with a median of 1.9 copies/diploid genome (range: 0.3 - 3.3) at last follow-up.
- Subject 1204 with severe SCD is producing 53 percent HbAT87Q at 18 months post-infusion (6.6 g/dL). This subject has experienced no hospitalizations or vaso-occlusive crises (VOCs) since treatment in October 2014, despite discontinuing transfusions three months after LentiGlobin drug product infusion.
- The two TDT patients who completed the two-year primary follow-up period have remained transfusion-free for 31 and 28 months, with HbAT87Q expression of 7.7 and 10.1 g/dL, respectively. Both subjects have the β0/βE genotype.
- The remaining patient with TDT with the β0/βE genotype has nine months of follow-up and has not required transfusions since four days after LentiGlobin drug product infusion
- One patient homozygous for the severe β+ mutation IVS1-110 has 12 months of follow-up, and has been free of transfusions for nine months. Patients with this mutation make almost no endogenous β-globin.
- No patient has experienced a drug product-related AE in this study, and there has been no evidence of clonal dominance
Interim Results from a Phase 1/2 Clinical Study of LentiGlobin Gene Therapy for Severe Sickle Cell Disease (Abstract #1176)
Presenter: Julie Kanter, M.D., Medical University of South Carolina, Charleston, SCDate: Monday, December 5, 2016, 5:45 pm PTSession: 801. Gene Therapy and Transfer: Gene Therapy for Benign Hematologic Diseases
Abstract Results, as of July 2016 Data Cut-off:
- All seven treated subjects successfully engrafted
- The median LentiGlobin drug product cell dose was 2.1 x 106 CD34+ cells/kg (range: 1.6 – 5.1)
- Median DP VCN was 0.6 (range: 0.3–1.3) vector copies/diploid genome, while median in vivo VCN measured in peripheral blood was 0.08 (range: 0.05–0.13) vector copies/diploid genome at last measurement
- All subjects express HbAT87Q, with a median of 0.4g/dL (range: 0.1–1.0 g/dL, n=7) at three months
- The relatively low in vivo VCN in this study compared to other studies appears to result in the lower HbAT87Q expression seen to date
- Protocol amendments have been implemented with the goal of increasing in vivo VCN in patients with SCD, such as increasing the transduced cell dose through alternate hematopoietic stem cell procurement methods, increasing the percentage of transduced cells through manufacturing improvements, increasing target busulfan area under the curve (AUC), and instituting blood transfusions prior to stem cell collection and conditioning
About bluebird bio, Inc.
With its lentiviral-based gene therapies, T cell immunotherapy expertise and gene editing capabilities, bluebird bio has built an integrated product platform with broad potential application to severe genetic diseases and cancer. bluebird bio’s gene therapy clinical programs include its Lenti-D™ product candidate, currently in a Phase 2/3 study, called the Starbeam Study, for the treatment of cerebral adrenoleukodystrophy, and its LentiGlobin™ BB305 product candidate, currently in four clinical studies for the treatment of transfusion-dependent β-thalassemia and severe sickle cell disease. bluebird bio’s oncology pipeline is built upon the company’s leadership in lentiviral gene delivery and T cell engineering, with a focus on developing novel T cell-based immunotherapies, including chimeric antigen receptor (CAR T) and T cell receptor (TCR) therapies. bluebird bio’s lead oncology program, bb2121, is an anti-BCMA CAR T program partnered with Celgene. bb2121 is currently being studied in a Phase 1 trial for the treatment of relapsed/refractory multiple myeloma. bluebird bio also has discovery research programs utilizing megaTALs/homing endonuclease gene editing technologies with the potential for use across the company’s pipeline.
bluebird bio has operations in Cambridge, Massachusetts; Seattle, Washington; and Paris, France.
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