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Allakos Announces First Patient Dosed in Phase 1 Trial of AK006 in Chronic Spontaneous Urticaria

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Allakos (Nasdaq: ALLK) announced the first patient dosing in a Phase 1 trial of AK006 for chronic spontaneous urticaria (CSU). The trial is designed to assess the safety, tolerability, and pharmacokinetics of AK006, and evaluate its therapeutic effects through the urticaria activity score (UAS7) over 14 weeks. Top-line results are expected by the end of 2024. CSU is caused by the inappropriate activation of mast cells in the skin, with both IgE-dependent and IgE-independent pathways implicated. AK006 targets these pathways, potentially benefiting a broader patient population.

Positive
  • First patient dosed in Phase 1 trial of AK006.
  • Trial aims to assess safety, tolerability, and pharmacokinetics of AK006.
  • Top-line results expected by year-end 2024.
  • AK006 targets both IgE-dependent and IgE-independent pathways, potentially benefiting a broader patient population.
Negative
  • Clinical trial results not expected until year-end 2024, causing a delay in potential market availability.
  • No current data on efficacy or safety; outcomes are uncertain.
  • Extended trial duration may incur higher costs and resource allocation.

Insights

The initiation of a Phase 1 trial for AK006 in treating Chronic Spontaneous Urticaria (CSU) represents a significant milestone for Allakos Inc. This trial aims to evaluate the safety, tolerability and pharmacokinetics of AK006, with a focus on exploring its therapeutic effects. Conducting this trial in a double-blind, placebo-controlled manner provides a robust framework for assessing the drug’s efficacy.

Chronic Spontaneous Urticaria is a condition characterized by the spontaneous appearance of hives and swelling, caused by the inappropriate activation of mast cells. Understanding both IgE-dependent and IgE-independent pathways is crucial, as it opens avenues for treating a broader spectrum of patients. The Urticaria Activity Score (UAS7) used in this study is a validated measure of disease activity, adding credibility to the trial outcomes.

AK006’s potential to target both pathways could position it as a versatile treatment option, addressing a currently unmet need in CSU management. However, being in Phase 1, the primary focus is on safety and tolerability, with efficacy data being preliminary at best. The top-line results expected at the end of 2024 will provide more concrete data to evaluate its potential accurately.

The news of dosing the first patient in a Phase 1 trial is an encouraging development for Allakos Inc. (Nasdaq: ALLK). This event could potentially boost investor confidence, as it signifies progress in their clinical pipeline. However, it's critical to note that early-phase trials primarily assess safety rather than efficacy and there is still a long road to commercialization.

The focus on mechanistic pathways, specifically targeting both IgE-dependent and IgE-independent mast cell activation, is a strategic move that may differentiate AK006 from existing therapies. If successful, this could capture a larger market share by addressing a wider patient population who do not respond to current treatments.

Financially, the biotech sector is highly speculative and stocks often experience volatility around clinical trial news. Investors should keep a close eye on the upcoming top-line results in late 2024. While the news is positive, it doesn’t guarantee future success and should be weighed with caution.

The Phase 1 trial of AK006 introduces an important investigational drug addressing mast cell-driven diseases. Assessing the pharmacokinetics (PK) is a foundational step in understanding how the drug behaves in the human body – its absorption, distribution, metabolism and excretion. This data is important for determining appropriate dosing regimens and predicting clinical efficacy.

The dual-targeting mechanism of AK006, addressing both IgE-dependent and IgE-independent pathways, is particularly noteworthy. Targeting the MRGPRX2 receptor implicated in IgE-independent activation could potentially offer a significant therapeutic advantage, broadening the scope of treatment for patients with CSU who are refractory to existing IgE-targeted therapies.

However, it’s important for investors to understand that Phase 1 trials are primarily about establishing a safety profile. While preliminary efficacy data might emerge, predicting long-term success at this stage remains speculative. The design and endpoints of this trial, including the use of UAS7 scores, will be critical in validating the early signals of efficacy.

– Top-line Phase 1 CSU results expected at year end 2024 –

SAN CARLOS, Calif., May 28, 2024 (GLOBE NEWSWIRE) -- Allakos Inc. (Nasdaq: ALLK), a biotechnology company developing AK006 for the treatment of mast cell-driven diseases, today announced that the first patient with chronic spontaneous urticaria (CSU) has been dosed in a randomized, double-blind, placebo-controlled Phase 1 trial of AK006. The Phase 1 trial is designed to assess the safety, tolerability and pharmacokinetics of AK006, and to explore the therapeutic effects of AK006 in patients with CSU using the urticaria activity score (UAS7) at 14 weeks. Top-line results from the trial are expected at year end 2024.

Chronic Spontaneous Urticaria

CSU symptoms are caused by the inappropriate activation of mast cells in the skin. IgE-dependent mast cell activation has been identified as a pathogenic driver of CSU, and agents which target this pathway have demonstrated therapeutic activity. More recently, IgE-independent pathways, such activation through the MRGPRX2 receptor, have been implicated in CSU disease pathogenesis. Agents that target both IgE-dependent and IgE-independent modes of mast cell activation have the potential to work in a broader patient population or show greater symptom improvement.

About AK006

AK006 is a humanized IgG1 monoclonal antibody which activates the inhibitory receptor Siglec-6. Siglec-6 is found on the surface of mature mast cells and offers a way to selectively target mast cells. In preclinical experiments, AK006 inhibits IgE-dependent and IgE-independent mast cell activation including activation through IgE, MRGPRX2 and KIT receptors. In these experiments, AK006 drives deep mast cell inhibition and, in addition to its inhibitory activity, can reduce mast cell numbers via antibody-dependent cellular phagocytosis in the presence of activated macrophages.

Phase 1 trial in Chronic Spontaneous Urticaria

AK006 is being studied in a Phase 1 randomized, double-blind, placebo-controlled single and multiple ascending dose trial that includes a randomized, double-blind, placebo-controlled CSU arm (NCT06072157). The CSU arm will enroll up to 60 adult patients with antihistamine refractory CSU (including patients with prior biologics treatment). Patients will be randomized 2:1 to receive intravenous AK006 or placebo once every four weeks (Q4W). The primary efficacy analysis will be the change in the urticaria activity score (UAS7) at week 14. Data from approximately 30 patients is expected at year end 2024.

About Allakos

Allakos is a clinical stage biotechnology company developing therapeutics that target immunomodulatory receptors present on immune effector cells involved in allergy, inflammatory and proliferative diseases. Activating these immunomodulatory receptors allows for the direct targeting of cells involved in disease pathogenesis and, in the setting of allergy and inflammation, has the potential to result in broad inhibition of inflammatory cells. The Company’s most advanced antibody in ongoing clinical development is AK006. AK006 targets Siglec-6, an inhibitory receptor expressed on mast cells. Mast cells are widely distributed in the body and play a central role in the inflammatory response. Inappropriately activated mast cells have been identified as key drivers in a number of severe diseases affecting the gastrointestinal tract, eyes, skin, lungs and other organs. In preclinical studies, AK006 appears to provide deep mast cell inhibition and, in addition to its inhibitory activity, reduce mast cell numbers. For more information, please visit the Company’s website at www.allakos.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 as contained in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Such forward-looking statements include, but are not limited to, Allakos’ progress, business plans, areas of focus and preclinical research; enrollment in Allakos’s clinical study; timing and availability of data; the potential of AK006; and Allakos’ anticipated milestones. Such statements are subject to numerous important factors, risks and uncertainties that may cause actual events or results to differ materially from current expectations and beliefs, including but not limited to: Allakos’ stages of clinical drug development; Allakos’ ability to timely initiate and complete clinical trials for AK006; Allakos’ ability to obtain required regulatory approvals for its clinical trials; uncertainties related to the enrollment of patients in its clinical trials; Allakos’ ability to demonstrate sufficient safety and efficacy of its product candidates in its clinical trials; uncertainties related to the success of clinical trials, regardless of the outcomes of preclinical testing or early-stage trials; Allakos’ ability to advance additional product candidates beyond AK006; uncertainties related to Allakos’ ability to realize the contemplated benefits of its restructuring and related reduction in force; Allakos’ ability to accurately forecast financial results; Allakos’ ability to obtain additional capital to finance its operations, research and drug development; general economic and market conditions, both domestic and international; domestic and international regulatory obligations; and other risks. Information regarding the foregoing and additional risks may be found in the section entitled “Risk Factors” in documents that Allakos files from time to time to with the SEC. These documents contain and identify important factors that could cause the actual results for Allakos to differ materially from those contained in Allakos’ forward-looking statements. Any forward-looking statements contained in this press release speak only as of the date hereof, and Allakos specifically disclaims any obligation to update any forward-looking statement, except as required by law. These forward-looking statements should not be relied upon as representing Allakos’ views as of any date subsequent to the date of this press release.

Source: Allakos Inc.

Investor Contact:
Adam Tomasi, President
Alex Schwartz, VP Strategic Finance and Investor Relations
ir@allakos.com

Media Contact:
Denise Powell
denise@redhousecomms.com


FAQ

What did Allakos announce regarding AK006?

Allakos announced the first patient dosing in a Phase 1 trial of AK006 for chronic spontaneous urticaria.

When are the top-line results of the AK006 Phase 1 trial expected?

Top-line results of the AK006 Phase 1 trial are expected by the end of 2024.

What is the focus of the AK006 Phase 1 trial?

The trial focuses on assessing the safety, tolerability, and pharmacokinetics of AK006, and its therapeutic effects in chronic spontaneous urticaria.

What pathways does AK006 target in treating CSU?

AK006 targets both IgE-dependent and IgE-independent pathways involved in CSU.

What is chronic spontaneous urticaria (CSU)?

CSU is a condition caused by the inappropriate activation of mast cells in the skin, leading to symptoms like hives and itching.

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