Celldex Therapeutics to Expand Development of CDX-0159 into Prurigo Nodularis (PN)
--Dermatological indication characterized by chronic, intensely itchy nodules; mast cell activation believed to play an important role in amplifying chronic itch and neuroinflammation--
--Potential to expand future CDX-0159 development beyond chronic urticarias to chronic pruritic diseases and other significant indications driven by itch and neuroinflammation--
In a Phase 1a single dose, healthy volunteer study, CDX-0159 demonstrated profound and durable reductions of plasma tryptase, indicative of systemic mast cell suppression/ablation. Celldex is evaluating CDX-0159 in two ongoing Phase 1b clinical trials in patients with chronic spontaneous urticaria and chronic inducible urticaria, both mast cell driven diseases. By exploring the potential of CDX-0159 to suppress chronic itch and neuroinflammation in PN, Celldex believes it may have the opportunity to expand future development to also include other chronic pruritic skin conditions and other medically significant conditions driven by itch and neuroinflammation.
Individuals with PN develop multiple, sometimes hundreds, of elevated, hard, nodular lesions on the skin. Patients experience intense itch and other sensations such as stinging, burning and pain which often leads to scratching to the point of bleeding and increased pain. This scratching, in turn, causes more lesions to develop, perpetuating the disease cycle. PN significantly impacts quality of life, often leading to sleep disturbance, psychological distress, social isolation, anxiety and depression. There are currently no FDA approved therapies for PN, representing an area of significant unmet need. Physicians typically attempt to address the immunological or neural component of PN through the use of topical therapies, which are not effective for many patients. While PN is classified as a rare disease by some organizations, a report by John Hopkins University1 suggests that prevalence of PN may be substantially under-reported, in part because of other underlying dermatologic or systemic conditions. Celldex anticipates initiating the study in PN in the fourth quarter of 2021. Celldex continues to assess potential opportunities for CDX-0159 in other diseases where mast cells play an important role, such as dermatologic, respiratory, allergic, gastrointestinal and ophthalmic conditions.
1J Invest Dermatol,
CDX-0159 is a humanized monoclonal antibody developed by Celldex that binds the KIT receptor with high specificity and potently inhibits its activity. The KIT receptor tyrosine kinase 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 a Phase 1a single dose, healthy volunteer study, CDX-0159 demonstrated a favorable safety profile as well as profound and durable reductions of plasma tryptase, indicative of systemic mast cell suppression or ablation. Based on this data, Celldex has initiated two Phase 1b studies in the mast cell driven disease chronic spontaneous urticaria (CSU) and the two most common forms of chronic inducible urticaria (CIndU)—cold contact urticaria and symptomatic dermographism. The Company is also planning a third study in prurigo nodularis (PN), where mast cells through their interactions with sensory neurons and other immune cells are believed to play an important role in amplifying chronic itch and neuroinflammation in PN.
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 effect critical pathways to improve the lives of patients with inflammatory diseases and many forms of cancer.
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Source: Celldex Therapeutics, Inc.