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▎WuXi AppTec Content Team Editor Recently, Galecto released the top-line data and additional analysis results of the clinical phase 1b/2a trial of its liver disease treatment drug GB1211, which significantly improved the level of a variety of liver enzymes and biomarkers related to the progression and prognosis of liver disease
。
Liver diseases, such as liver fibrosis or cirrhosis, are a global health burden
.
Cirrhosis is mainly caused by nonalcoholic steatohepatitis, alcoholic liver disease and hepatitis, which is an end-stage condition of progressive liver fibrosis and the leading cause of
liver-related death worldwide.
For liver disease, Galecto developed the drug GB1211, an oral small molecule galactoglutinin-3 inhibitor whose initial target indications were cirrhosis and non-small cell lung cancer
.
GB1211 has demonstrated antifibrotic activity and anticancer effects in multiple preclinical models and has successfully completed a Phase 1 trial
in 78 healthy volunteers.
In this trial, GB1211 was well tolerated and exhibited a dose-dependent pharmacokinetic profile
.
GULLIVER-2 is a Phase 1b/2a clinical trial designed to evaluate the safety, tolerability, pharmacokinetic profile, and potential activity of GB1211 in a total of 54 participants
.
The study recruited patients with decompensated cirrhosis (Child-Pugh classes B and C).
The top-line data released this time showed that after 12 weeks of treatment, the levels of various liver enzymes showed a statistically significant decrease: ALT (p<0.
0005), AST (p<0.
005), GGT (p<0.
05), ALP (p<0.
09).
After treatment with GB1211, many indicators, such as biochemical liver function markers, target action markers, apoptosis and fibrosis markers, were significantly improved
.
In addition, bilirubin, albumin, international normalized ratio (INR), and other biochemical indicators remained stable
.
These data suggest that GB1211 treatment has a protective effect on liver cells and improves liver status, and these findings further support the development
of clinical drugs for severe liver disease.
Image source: 123RF
GB1211 therapy started quickly, with reductions in liver enzyme (AST, ALT, and GGT) levels observed after seven days of treatment and continued to decrease
over a 12-week treatment cycle.
Two weeks after the study, these liver enzyme levels still decreased compared to baseline, indicating that the treatment had a long-lasting effect and significantly reduced liver inflammation
.
GB1211 showed good tolerability
in patients with decompensated cirrhosis of Child-Pugh class B.
Five (5/15) in the GB1211 treatment group and four (4/15) in the placebo group reported 9 and 8 treatment-related adverse effects
, respectively.
A patient taking GB1211 had 3 serious adverse events, all of which were judged to be unrelated to
GB1211 treatment.
Preliminary results from the 123RF
GULLIVER-2 trial are consistent
with Galecto's previous findings on GB1211 。 In several preclinical models, inhibition of Galectin-3 resulted in a significant reduction in liver enzymes (ALT, AST and GGT), indicating that the drug has a positive effect on liver function and exerts a protective effect
on liver cells.
In addition, GB1211 reduced fibrosis in preclinical liver models, providing a preclinical proof
of concept for Galecto's treatment of severe liver disease.
There is also substantial evidence that high levels of galectin-3 are associated with
the severity of liver disease.
Because galectin-3 levels are elevated in decompensated cirrhosis and are a prognostic biomarker for hepatocellular carcinoma, Galecto believes that inhibition of galectin-3 holds promise for a viable treatment option
for severe liver disease.
Dr.
Hans T.
Schambye, CEO of Galecto, said in a press release, "We have now reported data from three separate clinical trials from a cohort of patients with idiopathic pulmonary fibrosis, COVID-19, and cirrhosis that demonstrate the clinical benefit
of galectin-3 inhibition 。 The top-line results of the GULLIVER-2 trial show promising clinical activity, indicating that GB1211 has the potential to be an excellent therapeutic candidate for patients with severe liver disease
.
Despite the enormous health burden caused by liver disease, scientific advances in related treatments have been disappointing
.
For patients with advanced cirrhosis, there is still an urgent need for disease-modifying therapies
that can delay or replace liver transplantation.
With these promising data, we plan to conduct future studies to explore the use of
GB1211 in patients with liver disease.
"
。
Liver diseases, such as liver fibrosis or cirrhosis, are a global health burden
.
Cirrhosis is mainly caused by nonalcoholic steatohepatitis, alcoholic liver disease and hepatitis, which is an end-stage condition of progressive liver fibrosis and the leading cause of
liver-related death worldwide.
For liver disease, Galecto developed the drug GB1211, an oral small molecule galactoglutinin-3 inhibitor whose initial target indications were cirrhosis and non-small cell lung cancer
.
GB1211 has demonstrated antifibrotic activity and anticancer effects in multiple preclinical models and has successfully completed a Phase 1 trial
in 78 healthy volunteers.
In this trial, GB1211 was well tolerated and exhibited a dose-dependent pharmacokinetic profile
.
GULLIVER-2 is a Phase 1b/2a clinical trial designed to evaluate the safety, tolerability, pharmacokinetic profile, and potential activity of GB1211 in a total of 54 participants
.
The study recruited patients with decompensated cirrhosis (Child-Pugh classes B and C).
The top-line data released this time showed that after 12 weeks of treatment, the levels of various liver enzymes showed a statistically significant decrease: ALT (p<0.
0005), AST (p<0.
005), GGT (p<0.
05), ALP (p<0.
09).
After treatment with GB1211, many indicators, such as biochemical liver function markers, target action markers, apoptosis and fibrosis markers, were significantly improved
.
In addition, bilirubin, albumin, international normalized ratio (INR), and other biochemical indicators remained stable
.
These data suggest that GB1211 treatment has a protective effect on liver cells and improves liver status, and these findings further support the development
of clinical drugs for severe liver disease.
Image source: 123RF
GB1211 therapy started quickly, with reductions in liver enzyme (AST, ALT, and GGT) levels observed after seven days of treatment and continued to decrease
over a 12-week treatment cycle.
Two weeks after the study, these liver enzyme levels still decreased compared to baseline, indicating that the treatment had a long-lasting effect and significantly reduced liver inflammation
.
GB1211 showed good tolerability
in patients with decompensated cirrhosis of Child-Pugh class B.
Five (5/15) in the GB1211 treatment group and four (4/15) in the placebo group reported 9 and 8 treatment-related adverse effects
, respectively.
A patient taking GB1211 had 3 serious adverse events, all of which were judged to be unrelated to
GB1211 treatment.
Preliminary results from the 123RF
GULLIVER-2 trial are consistent
with Galecto's previous findings on GB1211 。 In several preclinical models, inhibition of Galectin-3 resulted in a significant reduction in liver enzymes (ALT, AST and GGT), indicating that the drug has a positive effect on liver function and exerts a protective effect
on liver cells.
In addition, GB1211 reduced fibrosis in preclinical liver models, providing a preclinical proof
of concept for Galecto's treatment of severe liver disease.
There is also substantial evidence that high levels of galectin-3 are associated with
the severity of liver disease.
Because galectin-3 levels are elevated in decompensated cirrhosis and are a prognostic biomarker for hepatocellular carcinoma, Galecto believes that inhibition of galectin-3 holds promise for a viable treatment option
for severe liver disease.
Dr.
Hans T.
Schambye, CEO of Galecto, said in a press release, "We have now reported data from three separate clinical trials from a cohort of patients with idiopathic pulmonary fibrosis, COVID-19, and cirrhosis that demonstrate the clinical benefit
of galectin-3 inhibition 。 The top-line results of the GULLIVER-2 trial show promising clinical activity, indicating that GB1211 has the potential to be an excellent therapeutic candidate for patients with severe liver disease
.
Despite the enormous health burden caused by liver disease, scientific advances in related treatments have been disappointing
.
For patients with advanced cirrhosis, there is still an urgent need for disease-modifying therapies
that can delay or replace liver transplantation.
With these promising data, we plan to conduct future studies to explore the use of
GB1211 in patients with liver disease.
"
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.
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