RNAi巨头Alnylam公司再发力:出击非酒精性脂肪性肝炎(NASH)

2020-08-04 MedSci原创 MedSci原创

ALN-HSD是与Regeneron合作,针对HSD17B13、皮下给药的RNAi疗法,以治疗非酒精性脂肪性肝炎。

Alnylam Pharmaceuticals宣布,已向英国监管机构(MHRA)提交了临床试验授权(CTA)申请,启动其RNAi疗法ALN-HSD治疗非酒精性脂肪性肝炎(NASH)的1期临床研究。该公司计划在获得MHRA批准后,于2020年末启动1期临床研究。

关于ALN-HSD

ALN-HSD是与Regeneron Pharmaceuticals合作开发的,针对HSD17B13、皮下给药的RNAi疗法,用于治疗非酒精性脂肪性肝炎。HSD17B13是一种与非酒精性脂肪性肝病的组织学特征相关的肝视黄醇脱氢酶,HSD17B13基因功能丧失突变可预防慢性肝病,并降低脂肪变性向脂肪性肝炎进展的风险。

ALN-HSD利用Alnylam的GalNAc半乳糖缀合物技术,能够以更高的肝脏选择性和治疗指数进行皮下给药,抑制肝脏中HSD17B13蛋白的表达和功能。

See the source image

图片来源:https://www.cell.com/molecular-therapy-family/nucleic-acids/fulltext/S2162-2531(16)30371-7

(肝细胞上特异性地表达一种内吞受体——去唾液酸糖蛋白受体(ASGPR),GalNAc半乳糖缀合RNAi药物可以通过与ASGPR相互作用,特异性地靶向肝细胞。)

关于NASH

非酒精性脂肪性肝炎(NASH)是一种高度流行的慢性肝病,表现为肝脏炎症、肝细胞损伤和肝脂肪沉积。NASH合并症包括肥胖,代谢综合症和2型糖尿病。在美国,约有1600万人患有NASH,由于肥胖率上升,该病的患病率也在增加。预计在未来10年内,NASH将成为发达国家肝移植的主要原因。目前尚无批准用于NASH的药物。

关于Alnylam公司

Alnylam公司是RNAi治疗领域的领军者,其首款RNAi治疗产品ONPATTRO(patisiran)已在美国,欧盟,加拿大,日本,巴西,瑞士获批,用于治疗遗传性ATTR(hATTR)淀粉样变性成年患者。另一款RNAi疗法GIVLAARI(givosiran)也在美国,欧盟和巴西获批治疗急性肝卟啉症的成年患者。

原始出处:

https://www.firstwordpharma.com/node/1745776?tsid=4

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    2021-02-15 lxg951
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    2020-10-15 yinxm8315
  4. 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createdName=柳叶一刀, createdTime=Sun Jun 06 11:05:23 CST 2021, time=2021-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1751684, encodeId=78f91e516842d, content=<a href='/topic/show?id=2c2c1553e56' target=_blank style='color:#2F92EE;'>#RNAi#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15537, encryptionId=2c2c1553e56, topicName=RNAi)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d9d436366397, createdName=yinxm8315, createdTime=Thu Oct 15 17:05:23 CST 2020, time=2020-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1673601, encodeId=306716e3601c1, content=<a href='/topic/show?id=757b954e922' target=_blank style='color:#2F92EE;'>#酒精性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95479, 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channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2342, encryptionId=be56234245, topicName=Alnylam)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cfb930846673, createdName=zz12341244, createdTime=Tue Nov 24 14:05:23 CST 2020, time=2020-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1956098, encodeId=4de91956098d2, content=<a href='/topic/show?id=8a048435058' target=_blank style='color:#2F92EE;'>#脂肪性肝炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84350, encryptionId=8a048435058, topicName=脂肪性肝炎)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Jr8S1dfvNyP22t32IFDXJXnpd5AGlDibiajL5cl3pxj7OPCeAeibLhzOmZn5Q2Oicc6uKOCnxGNOggdLtI3hIW7huQ/132, createdBy=66e52500008, createdName=Tamikia, createdTime=Thu Aug 27 19:05:23 CST 2020, 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  5. 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channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2342, encryptionId=be56234245, topicName=Alnylam)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cfb930846673, createdName=zz12341244, createdTime=Tue Nov 24 14:05:23 CST 2020, time=2020-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1956098, encodeId=4de91956098d2, content=<a href='/topic/show?id=8a048435058' target=_blank style='color:#2F92EE;'>#脂肪性肝炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84350, encryptionId=8a048435058, topicName=脂肪性肝炎)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Jr8S1dfvNyP22t32IFDXJXnpd5AGlDibiajL5cl3pxj7OPCeAeibLhzOmZn5Q2Oicc6uKOCnxGNOggdLtI3hIW7huQ/132, createdBy=66e52500008, createdName=Tamikia, createdTime=Thu Aug 27 19:05:23 CST 2020, time=2020-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1991217, encodeId=32a6199121e42, content=<a href='/topic/show?id=7b0299e238b' target=_blank style='color:#2F92EE;'>#非酒精性脂肪性肝炎(NASH)#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99723, encryptionId=7b0299e238b, topicName=非酒精性脂肪性肝炎(NASH))], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=56ea361, createdName=changhe713, createdTime=Sat Feb 27 18:05:23 CST 2021, time=2021-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1301311, encodeId=45b01301311d6, content=<a href='/topic/show?id=38e32852fe' target=_blank style='color:#2F92EE;'>#ASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2852, encryptionId=38e32852fe, topicName=ASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Thu Aug 06 12:05:23 CST 2020, time=2020-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806192, encodeId=5c54806192ab, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Tue Aug 04 21:41:24 CST 2020, time=2020-08-04, status=1, ipAttribution=)]
    2020-11-18 qjddjq
  6. [GetPortalCommentsPageByObjectIdResponse(id=2057686, encodeId=e399205e686b6, content=<a href='/topic/show?id=c02b106e29a' target=_blank style='color:#2F92EE;'>#LAM#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10672, encryptionId=c02b106e29a, topicName=LAM)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04ce158, createdName=lxg951, createdTime=Mon Feb 15 10:05:23 CST 2021, time=2021-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1676583, encodeId=8e6116e658325, content=<a href='/topic/show?id=397299e19c7' target=_blank style='color:#2F92EE;'>#非酒精性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99719, encryptionId=397299e19c7, topicName=非酒精性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, 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authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Thu Aug 06 12:05:23 CST 2020, time=2020-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806192, encodeId=5c54806192ab, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Tue Aug 04 21:41:24 CST 2020, time=2020-08-04, status=1, ipAttribution=)]
  7. 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  8. 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  9. 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time=2020-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1991217, encodeId=32a6199121e42, content=<a href='/topic/show?id=7b0299e238b' target=_blank style='color:#2F92EE;'>#非酒精性脂肪性肝炎(NASH)#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99723, encryptionId=7b0299e238b, topicName=非酒精性脂肪性肝炎(NASH))], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=56ea361, createdName=changhe713, createdTime=Sat Feb 27 18:05:23 CST 2021, time=2021-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1301311, encodeId=45b01301311d6, content=<a href='/topic/show?id=38e32852fe' target=_blank style='color:#2F92EE;'>#ASH#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2852, encryptionId=38e32852fe, topicName=ASH)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Thu Aug 06 12:05:23 CST 2020, time=2020-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806192, encodeId=5c54806192ab, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Tue Aug 04 21:41:24 CST 2020, time=2020-08-04, status=1, ipAttribution=)]
    2020-08-06 kksonne
  10. 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authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Thu Aug 06 12:05:23 CST 2020, time=2020-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806192, encodeId=5c54806192ab, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Tue Aug 04 21:41:24 CST 2020, time=2020-08-04, status=1, ipAttribution=)]
    2020-08-04 1209e435m98(暂无昵称)

    学习了,谢谢分享

    0

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非酒精性脂肪性肝炎(NASH):歌礼生物的ASC40显著降低肝脏脂肪,响应率达61%

ASC40 (TVB-2640) 是全球首创的口服脂肪酸合成酶 (Fatty Acid Synthase, FASN) 抑制剂

非酒精性脂肪性肝炎(NASH)新药Namodenoson:所有功效指标均得到显着且持续改善

A3腺苷受体激动剂Namodenoson 治疗非酒精性脂肪性肝病(NAFLD):整个II期研究期间肝脏脂肪和炎症显着且持续减少。

双重PPAR激动剂治疗非酒精性脂肪性肝炎:III期临床宣布失败

Genfit宣布终止elafibranor治疗患有纤维化非酒精性脂肪性肝炎(NASH)患者的III期试验。