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Pliant Therapeutics Announces Positive DSMB Safety Review and Initiation of Enrollment of Phase 2a Trial of Bexotegrast (PLN-74809) at 320 mg Dose in Primary Sclerosing Cholangitis

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Pliant Therapeutics, Inc. (Nasdaq: PLRX) has received a positive recommendation from an independent Data Safety Monitoring Board (DSMB) to continue its INTEGRIS-PSC Phase 2a trial for bexotegrast, a dual-selective integrin inhibitor. The trial will now advance to a 320 mg dose group, enrolling patients for 24 to 48 weeks. Over 600 participants have been treated with no severe adverse events reported. The trial addresses the unmet medical need for primary sclerosing cholangitis (PSC), and interim results from initial dose groups are expected in Q3 2023. The company emphasizes the potential of bexotegrast and its commitment to developing therapies for fibrosis-related diseases.

Positive
  • DSMB recommended continuation of INTEGRIS-PSC Phase 2a trial without modifications.
  • Enrollment commenced for the 320 mg dose of bexotegrast, expanding treatment options.
  • No severe or serious adverse events reported in over 600 study participants, indicating a favorable safety profile.
Negative
  • None.

Recent independent Data Safety Monitoring Board (DSMB) review recommended the INTEGRIS-PSC Phase 2a trial continue without modification and proceed to evaluate 320 mg dose

SOUTH SAN FRANCISCO, Calif., March 13, 2023 (GLOBE NEWSWIRE) -- Pliant Therapeutics, Inc. (Nasdaq: PLRX), a clinical-stage biopharmaceutical company focused on discovering and developing novel therapies for the treatment of fibrosis, today announced that, following a positive independent Data Safety Monitoring Board (DSMB) safety review, enrollment has commenced in a Phase 2a trial of bexotegrast at 320 mg dosed once daily for at least 24 weeks and up to 48 weeks in patients with primary sclerosing cholangitis (PSC). Bexotegrast, is an oral, small molecule, dual-selective inhibitor of αvβ6 and αvβ1 integrins being developed for the treatment of PSC and idiopathic pulmonary fibrosis (IPF). Bexotegrast has been administered to over 600 study participants to date, including healthy volunteers and patients, with no drug-related severe or serious adverse events reported to date.

“We are pleased to see the continued favorable safety and tolerability profile exhibited by bexotegrast, allowing us to evaluate a higher dose at a longer treatment duration in patients with PSC,” said Éric Lefebvre M.D. Chief Medical Officer of Pliant Therapeutics. “We recognize the high unmet medical need in PSC, as there are no FDA approved therapies for the indication and look forward to sharing 12-week interim data from our Phase 2a trial in the third quarter.”

DSMB Recommends Continuation of INTEGRIS-PSC Phase 2a Trial Without Modifications
Following the completion of enrollment of the 40, 80 and 160 mg dose groups in the INTEGRIS-PSC Phase 2a trial, a meeting of the bexotegrast independent DSMB was held earlier this month to review safety data from all patients enrolled in the trial to date. The DSMB recommended that the INTEGRIS-PSC trial continue without modification, enabling the initiation of enrollment of the 320 mg dose group.

About the INTEGRIS-PSC Phase 2a Trial
This Phase 2a trial is a randomized, double-blind, dose-ranging, placebo-controlled study evaluating bexotegrast at doses ranging from 40 to 320 mg, administered daily in approximately 112 patients with PSC. The initiation of the 320 mg dose group coincides with the FDA authorization to evaluate long-term dosing of bexotegrast in PSC patients, who will therefore be treated for at least 24 weeks and up to 48 weeks. The primary endpoint is the evaluation of the safety and tolerability of bexotegrast, and the secondary endpoint is the assessment of pharmacokinetics. The trial is also evaluating exploratory pharmacodynamic endpoints including fibrosis biomarkers such as PRO-C3 and enhanced liver fibrosis (ELF) score, changes in alkaline phosphatase (ALP), and liver imaging. Interim 12-week data from the 40, 80, and 160 mg dose groups of this trial [NCT04480840] is expected in the third quarter of 2023.

Forward-Looking Statements
Statements contained in this press release regarding matters that are not historical facts are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as "may," "will," "expect," "anticipate," "estimate," "intend," and similar expressions (as well as other words or expressions referencing future events, conditions, or circumstances) are intended to identify forward-looking statements. These statements include those regarding future development of bexotegrast in PSC and anticipated timing of clinical data. Because such statements deal with future events and are based on our current expectations, they are subject to various risks and uncertainties and actual results, performance or achievements of Pliant Therapeutics could differ materially from those described in or implied by the statements in this press release. These forward-looking statements are subject to risks and uncertainties, including those related to the development and commercialization of our product candidates, including any delays in our ongoing or planned preclinical or clinical trials, the impact of the ongoing COVID-19 pandemic on our business, operations, clinical supply and plans, our reliance on third parties for critical aspects of our development operations, the risks inherent in the drug development process, the risks regarding the accuracy of our estimates of expenses and timing of development, our capital requirements and the need for additional financing, and our ability to obtain and maintain intellectual property protection for our product candidates. These and additional risks are discussed in the sections titled "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our Annual Report on Form 10-K for the year ended December 31, 2022 which is available on the SEC's website at www.sec.gov. Unless otherwise noted, Pliant is providing this information as of the date of this news release and does not undertake any obligation to update any forward-looking statements contained in this document as a result of new information, future events or otherwise.

About Pliant Therapeutics, Inc.
Pliant Therapeutics is a clinical stage biopharmaceutical company focused on discovering and developing novel therapies for the treatment of fibrosis. Pliant's lead product candidate, bexotegrast (PLN-74809), is an oral small molecule dual selective inhibitor of αvß6 and αvß1 integrins that is in development in the lead indications for the treatment of idiopathic pulmonary fibrosis, or IPF, and primary sclerosing cholangitis, or PSC. Bexotegrast has received Fast Track Designation and Orphan Drug Designation from the U.S. Food and Drug Administration (FDA) in IPF and PSC and Orphan Drug Designation from the European Medicines Agency in IPF and PSC. Pliant is currently conducting Phase 2a trials of bexotegrast in the lead indications of IPF and PSC. Pliant has also developed PLN-1474, a small molecule, selective inhibitor of αvß1 for the treatment of nonalcoholic steatohepatitis, or NASH with liver fibrosis. Pliant is initiating a Phase 1 study for its third clinical program, PLN-101095, a small molecule, dual-selective inhibitor of αvß8 and αvß1 integrins, that is being developed for the treatment of solid tumors. In addition to clinical stage programs, Pliant currently has a preclinical program targeting muscular dystrophies. For additional information about Pliant Therapeutics, visit www.PliantRx.com and follow us on Twitter, LinkedIn, Facebook and YouTube.

Investor and Media Contact:

Christopher Keenan
Vice President, Investor Relations and Corporate Communications
Pliant Therapeutics, Inc.
ir@pliantrx.com


FAQ

What is the INTEGRIS-PSC Phase 2a trial for Pliant Therapeutics (PLRX)?

The INTEGRIS-PSC Phase 2a trial evaluates the safety and efficacy of bexotegrast in patients with primary sclerosing cholangitis, focusing on various dose levels.

What were the results of the DSMB review for the INTEGRIS-PSC trial on March 13, 2023?

The DSMB review on March 13, 2023, concluded that the trial could continue without modification, allowing for the exploration of a higher 320 mg dose.

What is bexotegrast and what conditions does it aim to treat?

Bexotegrast is an oral dual-selective inhibitor targeting fibrosis, specifically developed for primary sclerosing cholangitis (PSC) and idiopathic pulmonary fibrosis (IPF).

When will interim data from the INTEGRIS-PSC trial be available?

Interim data from the initial dose groups of the INTEGRIS-PSC trial is expected to be shared in the third quarter of 2023.

How many patients have been involved in the bexotegrast studies so far?

Over 600 participants, including healthy volunteers and patients, have been treated with bexotegrast to date.

Pliant Therapeutics, Inc.

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