- Rapid and sustained improvement in urticaria control after single dose of CDX-0159 -
- Greatly improved patient quality of life and reduced disease impact -
- Data further support 95% complete response rate to provocation testing -
A single dose of CDX-0159 (3 mg/kg) resulted in a rapid and sustained improvement in urticaria control and greatly reduced disease impact on quality of life, as measured by the Urticaria Control Test (UCT) and Dermatology Life Quality Index (DLQI). These data build on the previously reported results which demonstrated rapid, profound, and durable responses in 100% of patients with 95% achieving complete response, as assessed by provocation testing (TempTest® and FricTest®).
These data were presented by Dr.
"In July, we reported that 95% of patients on study with cold urticaria or symptomatic dermographism experienced a complete response to provocation testing and described feeling better in their day to day lives,” said
Summary of symptom control and quality of life measurements data from ongoing Phase 1b Trial of CDX-0159:
As of the data cut-off on
- In patients with chronic inducible urticaria refractory to antihistamines, a single dose of CDX-0159 (3 mg/kg) resulted in rapid, profound, and durable responses in 100% of patients with 95% achieving complete response, as assessed by provocation testing and as previously reported.
- Response to provocation testing was also accompanied by markedly improved and sustained urticaria control and quality of life:
- A single dose of CDX-0159 resulted in rapid improvement in urticaria control as measured by the UCT score, within 4 weeks which was sustained to week 12.
- 80% and 100% of patients achieved “well controlled” status (UCT≥12) by week 4 and 8, respectively.
- 63% of patients achieved “complete control” status (UCT=16) by week 8.
- 93% and 92% of patients achieved at least a 4-point reduction in the DLQI scale by week 4 and 8, respectively, the defined “minimal clinically important difference.” This assessment continued to improve or was maintained over the course of 12 weeks.
- 58% and 68% of patients achieved a DLQI score of 0-1 (no impact of disease on quality of life) by week 4 and 8, respectively and generally maintained improvement through 12 weeks.
- Rapid and durable improvement in provocation response mirrored reduction in tryptase.
- CDX-0159 was generally well tolerated.
The UCT consists of four questions (on a scale of 0-4; total 0-16) used to assess disease control in patients with chronic urticaria (spontaneous and inducible). UCT≥12 is well controlled and UCT=16 is complete control. The DLQI consists of ten questions (on a scale of 0–3, total 0–30) used to measure the impact of skin disease on patient quality of life. DLQI 0–1 indicates no effect on a patient’s life.
The Phase 1b study is an open label clinical trial designed to evaluate the safety of a single dose of CDX-0159 in patients with cold urticaria, symptomatic dermographism and cholinergic urticaria who are refractory to antihistamines. Patients' symptoms are induced via provocation testing that resembles real life triggering situations. Secondary and exploratory objectives include pharmacokinetic and pharmacodynamic assessments, including changes from baseline provocation thresholds, measurement of tryptase and stem cell factor levels, clinical activity outcomes (impact on urticaria symptoms, disease control, clinical response), quality of life assessments and measurement of tissue mast cells through skin biopsies. CDX-0159 is administered intravenously as add on treatment to H1-antihistamines and patients are followed for 12 weeks after dosing, with an optional longer term follow up period. For additional information on this trial (NCT04548869), please visit www.clinicaltrials.gov.
The poster presented at EADV can be viewed on the "Publications" page of the Celldex website.
About Chronic Inducible Urticaria
Chronic inducible urticarias are forms of urticaria that have an attributable trigger associated with them, typically resulting in wheals (hives) or angioedema. Approximately 0.5% of the total population suffers from chronic inducible urticarias. Celldex is exploring the three most common forms, cold-induced, dermographism (scratch-induced) and cholinergic (exercise/sweat-induced). People afflicted with cold urticaria experience symptoms like itching, burning wheals and angioedema when their skin is exposed to temperatures below skin temperature. Symptomatic dermographism is characterized by the development of a wheal and flare reaction in response to stroking, scratching or rubbing of the skin and usually occurs within minutes of the inciting stimulus. Cholinergic urticaria is triggered by the body’s sweating response to active or passive body warming, and is characterized by small (1–4 mm) wheals surrounded by bright red flares. Common triggers include exercise, hot baths/showers, fever, occlusive dressings, eating spicy foods and emotional stress. For these diseases, mast cell activation leading to release of soluble mediators is thought to be the driving mechanism leading to the wheals and other symptoms. There are currently no approved therapies for chronic inducible urticarias other than antihistamines and patients attempt to manage symptoms associated with their disease through avoidance of triggers.
CDX-0159 is a humanized monoclonal antibody that specifically binds the receptor tyrosine kinase KIT with high specificity and potently inhibits its activity. KIT is expressed in a variety of cells, including mast cells, which mediate inflammatory responses such as hypersensitivity and allergic reactions. KIT signaling controls the differentiation, tissue recruitment, survival and activity of mast cells. In certain inflammatory diseases, such as chronic urticaria, mast cell activation plays a central role in the onset and progression of the disease.
Celldex is a clinical stage biotechnology company dedicated to developing monoclonal and bispecific antibodies that address devastating diseases for which available treatments are inadequate. Our pipeline includes antibody-based therapeutics which have the ability to engage the human immune system and/or directly affect critical pathways to improve the lives of patients with inflammatory diseases and many forms of cancer. Visit www.celldex.com.
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Source: Celldex Therapeutics, Inc.