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Bellerophon Therapeutics Announces Results of Interim Analysis of Phase 3 COViNOX Study of INOpulse® for the Treatment of COVID-19

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Bellerophon Therapeutics (BLPH) announced a clinical hold on its Phase 3 COViNOX study of INOpulse® for COVID-19 following an interim analysis of the first 100 patients. The Data Monitoring Committee found 10 events of respiratory failure or death, indicating a limited sample size. Meanwhile, the company is optimistic about its fibrotic interstitial lung disease (fILD) program and plans to initiate the Phase 3 REBUILD study soon. Ongoing trials for pulmonary hypertension are progressing, with results expected by the end of 2020.

Positive
  • Upcoming initiation of Phase 3 REBUILD study in fibrotic interstitial lung disease.
  • Ongoing Phase 2b trial for pulmonary hypertension showing positive progress.
Negative
  • COViNOX study placed on clinical hold due to safety concerns.
  • Interim analysis revealed only a small number of events (10) for respiratory failure or death, raising concerns about data robustness.

WARREN, N.J., Nov. 23, 2020 (GLOBE NEWSWIRE) -- Bellerophon Therapeutics, Inc. (Nasdaq: BLPH) (“Bellerophon” or the “Company”), a clinical-stage biotherapeutics company focused on developing treatments for cardiopulmonary and infectious diseases, today announced that the independent Data Monitoring Committee (DMC) has completed its pre-specified interim analysis from the first 100 patients randomized in the Phase 3 COViNOX study of INOpulse® for the treatment of COVID-19.

The interim analysis, as requested by the U.S. Food and Drug Administration, was limited to the evaluation of safety and a single efficacy endpoint of respiratory failure or death (RFD).

“Based on the recommendation of the DMC, we have put the COViNOX study on clinical hold. To date, we have recruited close to 200 patients, of which 100 were included in the interim analysis. Of note, the interim analysis included 10 RFD events, representing a small sample size for evaluation of the RFD endpoint. We intend to complete the study procedures for the remaining patients and evaluate the full data set, which will include additional clinically important endpoints, such as change in clinical status and duration of hospitalization, in order to assess potential next steps in our COVID-19 program,” said Fabian Tenenbaum, Chief Executive Officer of Bellerophon Therapeutics.

“We continue to be enthusiastic about our lead program in fibrotic interstitial lung disease (fILD) and other pulmonary hypertension (PH) programs, which leverage years of experience with inhaled nitric oxide as a targeted and potent vasodilator to address the underlying vascular resistance and improve hemodynamics, ventilation/perfusion mismatch, quality of life, and exercise capacity in these patients. These indications represent significant unmet medical needs for which there are currently no approved therapies. Importantly, following the positive results from our Phase 2 studies, we expect to enroll the first patient in our Phase 3 REBUILD study in fILD shortly, and our ongoing Phase 2b trial in PH associated with sarcoidosis is progressing well, with top-line results anticipated around the end of 2020,” concluded Mr. Tenenbaum.

About Bellerophon
Bellerophon Therapeutics is a clinical-stage biotherapeutics company focused on developing innovative therapies that address significant unmet medical needs in the treatment of cardiopulmonary and infectious diseases. The Company is currently developing multiple product candidates under its INOpulse® program, a proprietary pulsatile nitric oxide delivery system. For more information, please visit www.bellerophon.com.

Forward-looking Statements
Any statements in this press release about Bellerophon’s future expectations, plans and prospects, including statements about the clinical development of its product candidates, regulatory actions with respect to the Company’s clinical trials and expectations regarding the sufficiency of the Company’s cash balance to fund clinical trials, operating expenses and capital expenditures, and other statements containing the words “anticipate,” “believe,” “continue,” “contemplate,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “will,” “would,” and similar expressions, constitute forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including: risks and uncertainties relating to INOpulse® not proving to be an effective treatment for COVID-19 or approved for marketing by the FDA, the uncertainties inherent in the initiation of future clinical trials, availability and timing of data from ongoing and future clinical trials and the results of such trials, whether preliminary or interim results from a clinical trial will be predictive of the final results of that trial or whether results of early clinical trials will be indicative of the results of later clinical trials, expectations for regulatory approvals, the FDA’s substantial discretion in the approval process, availability of funding sufficient for our foreseeable and unforeseeable operating expenses and capital expenditure requirements and other factors discussed in the “Risk Factors” section of the Company’s most recent Annual Report on Form 10-K and in subsequent filings with the Securities and Exchange Commission. In addition, any forward-looking statements included in this press release represent Bellerophon’s views only as of the date of this release and should not be relied upon as representing the Company’s views as of any subsequent date. The Company specifically disclaims any obligation to update any forward-looking statements included in this press release.

Contacts

At W2O Group:At LifeSci Advisors:
Julie NormartBrian Ritchie
(559) 974-3245(212) 915-2578
jnormart@w2ogroup.combritchie@lifesciadvisors.com


FAQ

What is the current status of Bellerophon Therapeutics' COViNOX study for COVID-19?

The COViNOX study is currently on clinical hold following an interim analysis that raised safety concerns, with only a limited number of events observed.

What were the results of the interim analysis in the COViNOX study?

The interim analysis reported 10 events of respiratory failure or death among the initial 100 patients, indicating a need for more extensive data.

When is Bellerophon expected to start the Phase 3 REBUILD study?

Bellerophon anticipates enrolling the first patient in the Phase 3 REBUILD study for fibrotic interstitial lung disease shortly.

What are the next steps for Bellerophon after the clinical hold on the COViNOX study?

Bellerophon plans to complete the study procedures for remaining patients and evaluate additional clinically important endpoints.

What is Bellerophon's outlook on its fibrotic interstitial lung disease program?

Bellerophon remains enthusiastic about its fILD program, expecting to progress to Phase 3 trials following positive Phase 2 results.

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