Monday, July 16, 2012

Alnylam Pharma (ALNY)'s ALN-TTR02 able to knockdown TTR proteins by 94%

Alnylam Pharmaceuticals Inc. (ALNY), the developer of a treatment for a rare genetic disorder, rose the most ever after the drug showed promise in an early clinical trial.

Alnylam Pharmaceuticals Inc announced the achievement of positive clinical results from its Phase I trial with ALN-TTR02, an RNAi therapeutic targeting the transthyretin (TTR) gene for the treatment of TTR-mediated amyloidosis (ATTR).

 
My analysis: As the pharmacogenomics and personalized medicine are coming in the forefront the companies like Alnylam Pharma (ALNY) are benefiting a lot from it. Due to smaller market capitalization of these companies, they tend to rise exponentially on positive press release.

I feel this rally will not last too long before investors realize that this is just the Phase I trial data which are mainly toxicity data. This data may get presented at various investor conferences but this drug still has lots of clinical inspection to go thru.

This company is certainly not a M&A target due to its specific focused pipeline. It will be intersteing to see in coming months how this company pans out.

TTR medicated amyloidosis
The disease is caused by a mutation in the gene responsible for producing the transthyretin protein. In people with the genetic defect, transthyretin made by the liver breaks apart, forms into clumps, and damages the nerves and heart. Currently a liver transplant is the only available treatment.
Alnylam’s drug, called ALN-TTR02, stops production of transthyretin. The company is focusing on patients with TTR-FAP, or transthyretin familial amyloid polyneuropathy. The company estimates that as many as 10,000 patients have the disease. In TTR-FAP, the protein attacks the body’s longest nerves first, often killing them within a decade as the body shuts down.

Results from this study show that administration of ALN-TTR02 leads to robust knockdown of serum TTR protein levels of up to 94%; the overall results were highly significant (p<0.00001 by ANOVA). Suppression of TTR, the disease-causing protein in ATTR, was found to be rapid, dose dependent, durable, and specific after just a single dose.

 Alnylam recently reported that it has initiated a Phase II study of ALN-TTR02 in patients with ATTR and has guided that its goal is to start a pivotal trial in 2013.

The primary objective of the study was to evaluate the safety and tolerability of a single dose of ALN-TTR02, with subjects being enrolled into five sequential cohorts of increasing doses ranging from 0.01 to 0.50 mg/kg. In addition, pharmacodynamic activity was evaluated with serial measurements of serum TTR protein levels through at least day 56.

Preliminary data from this study showed that a single dose of ALN-TTR02 resulted in rapid, dose-dependent, durable, and specific knockdown of serum TTR levels. Even at doses as low as 0.15 mg/kg, substantial serum TTR suppression was achieved, with a mean 81.9% knockdown at nadir.

Sources: Reuters and Bloomberg

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