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Traws Pharma’s ICAR Poster Highlights Potency of COVID-19 Candidate

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Traws Pharma presented a poster at ICAR2024, showcasing positive preclinical results for their COVID-19 candidate, ratutrelvir. This Mpro protease inhibitor, which does not require ritonavir, demonstrated superior activity against various Omicron variants compared to nirmatrelvir. The differentiation in resistance profiles between the two drugs was highlighted, with ratutrelvir showing fewer resistance mutations. These findings support the potential of ratutrelvir as a leading therapy for COVID-19. Phase 1 trials are ongoing, with Phase 2 expected to begin in H2 2024.

Positive
  • Ratutrelvir showed superior activity compared to nirmatrelvir against various Omicron variants.
  • Ratutrelvir does not require ritonavir, potentially reducing side effects.
  • Fewer resistance mutations were observed with ratutrelvir compared to nirmatrelvir.
  • The accelerated Phase 1 trial enrollment indicates strong progress towards Phase 2 studies.
  • Potential to position ratutrelvir as a class-leading therapy for COVID-19.
Negative
  • Ratutrelvir is still in Phase 1 trials, meaning it is not yet proven effective or safe in humans.
  • The differentiation in resistance profiles is based on preclinical data, which may not translate to clinical efficacy.
  • There is competition from already approved drugs, such as nirmatrelvir.

Insights

The preclinical data presented by Traws Pharma underscores the potential significance of ratutrelvir in combating COVID-19, particularly when comparing its resistance profile to nirmatrelvir. The fact that ratutrelvir exhibits greater activity against both wild type and certain resistant strains of the virus positions it as a strong candidate for further development. While it's still in the early Phase 1 trials, the absence of critical resistance mutations that are common with nirmatrelvir is promising. In simple terms, ratutrelvir might stay effective longer and against more diverse strains of the virus.

This is particularly relevant in the context of the ever-evolving nature of SARS-CoV-2, where resistance profiling can significantly affect the long-term efficacy of treatments. Investors should note the potential for ratutrelvir to fill gaps left by existing treatments, though its ultimate success will depend on the outcomes of subsequent clinical trials.

From a medical research perspective, the comparison between ratutrelvir and nirmatrelvir is insightful. Nirmatrelvir, currently the only Mpro inhibitor approved in the U.S., has been a critical part of the COVID-19 therapeutic arsenal. Ratutrelvir's ability to maintain efficacy in the presence of specific resistance mutations observed with nirmatrelvir suggests that it might offer a more robust treatment option.

However, it's essential to acknowledge that these findings are based on preclinical data. The true test will come as ratutrelvir progresses through clinical trials, particularly Phase 2, where its safety, efficacy and resistance profile can be more comprehensively evaluated in humans. Investors should watch for Phase 2 data as it will provide stronger evidence of the drug's potential as a class-leading therapy.

From a financial viewpoint, the promising preclinical data and the accelerated Phase 1 enrollment are positive indicators for Traws Pharma. If ratutrelvir continues to show superiority over nirmatrelvir in clinical trials, it could potentially capture a significant market share. This is especially important given the ongoing need for effective COVID-19 treatments amid viral mutations and vaccine-resistant variants.

Investors should note the company's timeline for advancing to Phase 2 studies in the second half of 2024, which will be a critical milestone. If successful, it may drive up Traws Pharma's valuation and attract strategic partnerships or funding. However, as with all pharmaceutical developments, the inherent risks of clinical trials and regulatory approval processes should not be underestimated.

Differentiated resistance profile positions Traws’ program as a potential class leader

NEWTOWN, Pa., May 23, 2024 (GLOBE NEWSWIRE) -- Traws Pharma, Inc. (“Traws” or “Traws Pharma”), a clinical stage biopharmaceutical company developing oral small molecules for respiratory viral diseases and cancer, today announced presentation of a poster at the annual International Conference on Antiviral Research (ICAR2024) which is being held from May 20th to May 24th in Gold Coast, Australia. The poster highlights positive results of preclinical experiments using patient isolates of COVID19 virus to define the resistance profile of ratutrelvir, formerly known as travatrelvir or TRX01, Traws’ ritonavir-free Mpro protease inhibitor for COVID19, currently in Phase 1 single and multiple ascending dose (SAD/MAD) escalation studies.

“We are very pleased to present the results of resistance studies for ratutrelvir at ICAR2024. Resistance studies are an important part of establishing a differentiation profile for an antiviral agent. Our initial data indicate that ratutrelvir has superior activity compared to nirmatrelvir against a range of omicron variants, based on a comparison of EC50. We believe the results presented at ICAR provide additional positive data to indicate that ratutrelvir has a differentiated resistance profile compared to nirmatrelvir,” said Werner Cautreels, Ph.D., Chief Executive Officer of Traws Pharma.

Dr. Cautreels continued, “Some resistance mutations are common to both drugs but a large part of resistance to nirmatrelvir was not seen with ratutrelvir. Together, ratutrelvir’s differentiated resistance profile, promising pharmacokinetic effects, potential to be used without ritonavir and the accelerated pace of Phase 1 enrollment put the compound on track to advance to Phase 2 studies in H2 2024 and position ratutrelvir as a potential class-leading therapy for COVID- 19.”

C. David Pauza, Ph.D., Chief Scientific Officer, Virology at Traws Pharma said, “Understanding the patterns of resistance mutations gives us the ability to identify circulating viruses that may already be resistant to individual antiviral agents; selecting the right drug can be guided by this information. The resistance studies presented at ICAR compared ratutrelvir to nirmatrelvir, the only Mpro inhibitor approved in the U.S. Our data suggest that ratutrelvir exhibited greater activity compared to nirmatrelvir against wild type Mpro, and remained active against Mpro variants with specific mutations that are associated with nirmatrelvir resistance.”

Dr. Pauza added, “An important finding was that critical mutations accounting for much of the resistance to nirmatrelvir were not found using ratutrelvir, indicating important differences between the two compounds. These differences were most apparent when the nirmatrelvir-resistant mutants P252L or T304I were involved in drug resistance, as these mutations were not observed after ratutrelvir selection.

The data were reported in a poster entitled, “Travatrelvir, an inhibitor of SARS-CoV-2 Main Protease now in Phase 1 Clinical Trials: in vitro Drug Resistance Compared to Nirmatrelvir” (Abstract 356V) presented at ICAR by Bhargava Teja Sallapalli, Master of Veterinary Science, Department of Veterinary Medicine, Virginia-Maryland School of Veterinary Medicine, College Park Maryland et al. The poster can be found on the Scientific Presentations section of the Traws Investor Relations web page.

About Ratutrelvir, the Phase 1 Program and Planned Next Steps

Ratutrelvir (also previously known as 83-0060) was designed as an inhibitor of the SARS-CoV-2 Mpro (3CL protease). It has demonstrated in vitro activity against the original strain of the virus as well as the delta and omicron variants and is more active than nirmatrelvir (PAXLOVID®, Pfizer’s Mpro inhibitor) in preclinical studies. Also in preclinical studies, ratutrelvir did not require co-administration with a human cytochrome P450 (CYP) inhibitor, such as ritonavir, and so it is expected to avoid associated drug:drug interactions, potentially permitting wider patient use. The drug candidate’s pharmacokinetic (PK) profile may enable a once daily, treatment regimen and reduce the likelihood of viral rebound.

The Phase 1 study will evaluate single and multiple ascending doses of ratutrelvir in a double-blinded, placebo-controlled clinical trial to assess safety, tolerability, and pharmacokinetics. Subjects will be randomized 3:1 in five fasted and one fed single ascending dosing (SAD) cohorts and two multiple ascending dosing (MAD) cohorts. Topline data from the study, which is being conducted in Australia (NCT06402136), and the initiation of an international Phase 2 study in subjects with moderate to severe COVID19, are expected to take place in H2 2024.

About Traws Pharma, Inc.

Traws Pharma is a clinical stage biopharmaceutical company developing oral small molecule therapies for the treatment of respiratory viral diseases and cancer. The viral respiratory disease program includes an oral inhibitor of the SARS-CoV-2 Mpro (3CL protease), ratutrelvir, and tivoxavir marboxil, a new oral antiviral drug candidate for influenza which targets the influenza cap-dependent endonuclease and has shown activity in cell-based assays against drug resistant viruses as well as against avian flu.

In the cancer program, Traws is developing the novel, proprietary multi-kinase CDK4-plus inhibitor narazaciclib for refractory endometrial cancer and potentially other cancers. Narazaciclib targets pathways involved in the development of resistance to CDK inhibitors.

Traws Pharma is committed to delivering novel compounds for unmet medical needs using state-of-the-art drug development technology. With a focus on product safety and a commitment to patients in need or that are specifically vulnerable, we build solutions for important medical challenges, aiming to alleviate the burden of viral infections and cancer.

Forward-Looking Statements

Some of the statements in this release are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, and involve risks and uncertainties including statements regarding preclinical studies to evaluate the resistance profile of ratutrelvir, the Phase 1 study of ratutrelvir in Australia and its design, timing and potential results and the timing of a planned Phase 2 study. Traws has attempted to identify forward-looking statements by terminology including “believes”, “estimates”, “anticipates”, “expects”, “plans”, “intends”, “may”, “could”, “might”, “will”, “should”, “preliminary”, “encouraging”, “approximately” or other words that convey uncertainty of future events or outcomes. Although Traws believes that the expectations reflected in such forward-looking statements are reasonable as of the date made, expectations may prove to have been materially different from the results expressed or implied by such forward looking statements. These statements are only predictions and involve known and unknown risks, uncertainties, and other factors, including the success and timing of Traws’ clinical trials, collaborations, market conditions and those discussed under the heading “Risk Factors” in Traws’ filings with the Securities and Exchange Commission. Any forward-looking statements contained in this release speak only as of its date. Traws undertakes no obligation to update any forward-looking statements contained in this release to reflect events or circumstances occurring after its date or to reflect the occurrence of unanticipated events.

Traws Pharma, Inc. Contact:
Mark Guerin
Traws Pharma, Inc.
267-759-3680
www.trawspharma.com

Investor Contact:
Bruce Mackle
LifeSci Advisors, LLC
646-889-1200
bmackle@lifesciadvisors.com


FAQ

What is Traws Pharma's COVID-19 candidate?

Traws Pharma's COVID-19 candidate is ratutrelvir, an Mpro protease inhibitor.

How does ratutrelvir compare to nirmatrelvir?

Ratutrelvir has shown superior activity against various Omicron variants and fewer resistance mutations compared to nirmatrelvir.

When is Traws Pharma expected to begin Phase 2 trials for ratutrelvir?

Traws Pharma expects to begin Phase 2 trials for ratutrelvir in H2 2024.

What are the key findings of the resistance studies for ratutrelvir?

The studies found ratutrelvir to have fewer resistance mutations and greater activity against Mpro variants compared to nirmatrelvir.

Where was the ratutrelvir data presented?

The data was presented at the International Conference on Antiviral Research (ICAR2024) in Gold Coast, Australia.

Traws Pharma, Inc.

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