Aptinyx Reports Results from Phase 2b Study of NYX-2925 in Fibromyalgia
Aptinyx Inc. (NASDAQ: APTX) announced disappointing results from its Phase 2b clinical study of NYX-2925, aimed at treating fibromyalgia. The study failed to achieve statistically significant separation from placebo on the primary endpoint—average daily pain reduction. While some improvement was noted in secondary endpoints early on, by week 12, the placebo group showed notable improvement, undermining NYX-2925's efficacy. The company will refocus efforts on other pipeline projects, including NYX-458 for cognitive impairment related to Parkinson’s disease, with data expected in Q1 next year.
- NYX-2925 was well tolerated across all dose levels without significant safety concerns.
- The company plans to advance data from its pipeline, including upcoming readouts related to PTSD and cognitive impairment.
- NYX-2925 did not achieve its primary endpoint for significant pain reduction in fibromyalgia patients.
- The study's results indicate challenges in developing effective pain therapies, potentially impacting future research funding and investor confidence.
NYX-2925 did not achieve the primary endpoint of the study
“We are very disappointed that, despite the evidence of activity observed in a prior biomarker study in fibromyalgia patients, in this follow-up Phase 2b study NYX-2925 did not achieve statistical separation from placebo,” said
The Phase 2b fibromyalgia study was a randomized, double-blind, placebo-controlled study designed to evaluate the efficacy and safety of NYX-2925 in approximately 300 patients with fibromyalgia. Following a screening period, eligible patients were randomized to receive oral doses of NYX-2925 50 mg, NYX-2925 100 mg, or placebo once daily over the treatment period. The primary endpoint in the study was the change from baseline in average daily pain as reported on the zero-to-ten NRS during week 12 of the study.
Statistically significant separation from placebo was not observed on the primary endpoint of the study with either dose level of NYX-2925. Patients receiving NYX-2925 at both dose levels showed a trend toward clinically meaningful improvement in pain, as well as in some secondary endpoints, versus placebo by week 4. However, by week 12, the placebo group had improved such that, although NYX-2925 remained numerically better, the separation was not clinically meaningful. Across both dose levels, NYX-2925 was well tolerated in the study, with no concerning safety issues observed. Detailed data from the study continue to be evaluated.
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