SAN DIEGO, Jan. 22, 2019 (GLOBE NEWSWIRE) — Sorrento Therapeutics, Inc. (NASDAQ: SRNE, “Sorrento”) announced that the phase 1b study of its non-opioid, afferent nerve ablating drug candidate (resiniferatoxin or “RTX”) for the treatment of pain from osteoarthritis in the knee (intra-articular route of administration) interim data analysis of over 30 patients had positive activity, prompting Sorrento to start planning pivotal studies to start in 2019.
- Rapid onset of pain relief (day following injection) and sustained clinical benefits (84 days) at the lowest dose tested.
- Pain at walking (10 points WOMAC scale) reduced by 4.7 points versus control at day 84.
- No dose limiting toxicities, nor adverse events of interest noted for any dose group.
The “Phase 1b double-blind study to assess the safety and preliminary efficacy of intra-articular administration of resiniferatoxin versus placebo for the treatment of pain due to moderate to severe osteoarthritis of the knee” was expected to recruit about 40 patients in 5 dose level cohorts or until a maximum tolerated dose (MTD) was reached. In each cohort six patients received intra-articular RTX and two received a saline control (placebo arm).
No dose limiting toxicities have been observed to date at any dose group (see table 1) and a majority of the patients treated with the active drug are reporting positive clinical benefits in pain reduction.
The lowest dose cohort treated with a single injection into the knee joint (with 5 mcg RTX) was unblinded after twelve weeks of observation as authorized per protocol. The RTX treated patients had a mean pain score 4.7 points lower than controls (on the 10 point WOMAC pain scale) at Day 84 (see figure 1). Onset of pain reduction was as early as the day following drug administration and sustained over time. Patients in higher dose groups are also displaying rapid and sustainable improvements (data still blinded). As specified in the current protocol, patients will be monitored for 12 months after injection. A clinically effective dose will be determined by the end of the current study.
“Given these initial results and the feedback from our investigators, we have started the process of planning our pivotal studies so they can be initiated later this year (2019),” stated Dr. Henry Ji, Chairman and CEO for Sorrento. “We believe this drug has the potential to rival the best selling non-opiod pain drugs on the market, and make Sorrento an industry leader in non-opioid pain management. We look forward to discussing our phase 1b data with the FDA and plan the final phase of our RTX knee osteoarthritis pain development program.”
Table 1: Safety Report as of January 2019 is available at http://www.globenewswire.com/NewsRoom/AttachmentNg/212b8439-71a0-4a5a-a94a-b21b80a337db
* DLT = dose limiting toxicity. AE = adverse event.
Figure 1: WOMAC Question A1 Pain Score Averages (Treated versus Saline Control) – Cohort 1 (5 μg) is available at http://www.globenewswire.com/NewsRoom/AttachmentNg/635b5966-d22e-4f0d-a88d-ca47bf61a560
About Resiniferatoxin (RTX) and the PTVA-OA-001 Study
Joint pain affects over 30 million patients in major markets, half of which suffer from knee osteoarthritis pain1.
A thousand times “hotter” than pure capsaicin (16 billion Scoville units versus 16M), and with a high affinity for afferent pain nerves, resiniferatoxin binds to TRPV1 receptors and selectively ablates the nerve endings responsible for pain signals experienced by patients2. Delivered peripherally (into the joint space) the transient nerve ending ablation effect can have profound clinical benefits lasting for months to years (as shown in canine studies3).
PTVA-OA-001 is a multicenter, placebo-controlled phase 1b study (being expanded into a phase 2 study) to assess the safety and define the maximally tolerated dose of resiniferatoxin administered in the knee joint for the reduction of moderate to severe pain signal intensity associated with osteoarthritis. The study is a dose-escalation protocol in which cohorts of patients will receive increasing doses of resiniferatoxin until the maximum tolerated dose (MTD) is achieved. The primary objective of the study is to evaluate the safety of resiniferatoxin and identify the recommended phase 2 dose. The secondary objective is to assess the preliminary efficacy of resiniferatoxin measured by assessing changes in the intensity of pain using the WOMAC Index, a widely used proprietary validated pain questionnaire.
Resiniferatoxin is not approved by regulatory authorities. Safety and efficacy have not been established.
More information on this trial can be found at www.clinicaltrials.gov (NCT03542838).
About Sorrento Therapeutics, Inc.
Sorrento is a clinical stage, antibody-centric, biopharmaceutical company developing new therapies to turn malignant cancers into manageable and possibly curable diseases. Sorrento’s multimodal multipronged approach to fighting cancer is made possible by its extensive immuno-oncology platforms, including key assets such as fully human antibodies (“G-MAB™ library”), clinical stage immuno-cellular therapies (“CAR-T”), intracellular targeting antibodies (“iTAbs”), antibody-drug conjugates (“ADC”), and clinical stage oncolytic virus (“Seprehvir®”).
Sorrento’s commitment to life-enhancing therapies for patients is also demonstrated by its effort to advance a first-in-class (TRPV1 agonist) non-opioid pain management small molecule, resiniferatoxin (“RTX”), and ZTlido® (lidocaine topical system) 1.8% for the treatment of post-herpetic neuralgia. Resiniferatoxin is completing a phase IB trial in terminal cancer patients and a phase 1B trial in osteoarthritis patients. ZTlido® was approved by the FDA on February 28, 2018.
For more information visit www.sorrentotherapeutics.com.
1 GlobalData Epicast (2017 report) states for year 2016: 17M cases of symptomatic hand OA (7 Major Markets, 7.6M in the USA) + 15.2M symptomatic Knee OA (4.4M in the US) + 3.34M symptomatic hip OA (1.7M in the US).
2 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC398431/3 Sorrento Therapeutics (Ark Animal Health) internal data (on file).