Antibody NI006 for Cardiac Transthyretin Amyloid Depletion. Reply.

N Engl J Med

Neurimmune, Schlieren, Switzerland.

Published: September 2023

Download full-text PDF

Source
http://dx.doi.org/10.1056/NEJMc2309584DOI Listing

Publication Analysis

Top Keywords

antibody ni006
4
ni006 cardiac
4
cardiac transthyretin
4
transthyretin amyloid
4
amyloid depletion
4
depletion reply
4
antibody
1
cardiac
1
transthyretin
1
amyloid
1

Similar Publications

NI006 (aka ALXN2220) is a therapeutic antibody candidate in phase III clinical development for the depletion of amyloid transthyretin (ATTR) in patients with ATTR cardiomyopathy, an infiltrative cardiomyopathy leading to increased left ventricular wall thickness (LVWT). The mode-of-action consists in removal of disease-causing amyloid accumulations by activating phagocytic immune cells, a mechanism without precedent in cardiology. To select a safe and potentially efficacious dose range and treatment duration for a combined first-in-human and proof-of-concept clinical phase Ib study, we developed a mechanistic pharmacokinetic and pharmacodynamic (PK/PD) model that can predict NI006 exposure, its effects on cardiac amyloid load and on LWVT, which is a predictor of heart failure in this disease.

View Article and Find Full Text PDF
Article Synopsis
  • Cardiac amyloidosis is a serious condition where abnormal amyloid fibrils accumulate in the heart, causing it to function poorly. It's mainly classified into two types: immunoglobulin light chain amyloidosis and transthyretin amyloidosis (ATTR), which comes in non-hereditary and hereditary forms.
  • The rise in cases of ATTR cardiac amyloidosis is partly due to better diagnostic methods, and survival rates are improving thanks to new treatment options like tafamidis and emerging therapies currently in trials.
  • New treatments such as acoramidis, eplontersen, vutrisiran, patisiran, and an experimental antibody NI006 are being tested to enhance cardiac function, with results expected in a few
View Article and Find Full Text PDF

Phase 1 Trial of Antibody NI006 for Depletion of Cardiac Transthyretin Amyloid.

N Engl J Med

July 2023

From Hospital Universitario Puerta de Hierro Majadahonda, IDIPHISA, CIBERCV, and Centro Nacional de Investigaciones Cardiovasculares, Madrid, and Universidad Francisco de Vitoria, Pozuelo de Alarcón - all in Spain (P.G.-P.); the Department of Cardiology, University Hospital Heidelberg, Heidelberg (F.S.), and Cardiovascular Center Darmstadt, Darmstadt (A.V.K.) - both in Germany; the Department of Cardiology, University of Rennes, Centre Hospitalier Universitaire (CHU) de Rennes, INSERM, LTSI-UMR 1099, Rennes (E.D.), Service de Cardiologie, CHU de Toulouse-Hôpital Rangueil, Toulouse (O.L.), and the Cardiology Department and French National Reference Center for Cardiac Amyloidosis, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, and Institut Mondor de Recherche Biomédicale, INSERM, Université Paris Est Créteil, Créteil (T.D.) - all in France; the Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands (P.M.); Alexion-AstraZeneca Rare Disease, Boston (M.F.M.); and Neurimmune (A.M., R.J.A.F., J.G., R.M.N., C.H., P.C.K.) and the Institute for Regenerative Medicine (R.M.N., C.H.) and the Center for Molecular Cardiology (P.C.K.), University of Zurich - all in Schlieren, Switzerland.

Article Synopsis
  • Transthyretin amyloid (ATTR) cardiomyopathy is a serious heart disease caused by misfolded proteins, and current treatments do not effectively remove these proteins from the heart.
  • A phase 1 clinical trial tested NI006, a recombinant human antibody, on 40 patients to evaluate its safety and effects on heart function, using a double-blind method with varying doses.
  • Results showed no serious side effects, and at higher doses, NI006 appeared to reduce markers of cardiac amyloid load and improve heart-related indicators over 12 months.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!