- Oral PL8177 may provide a safe, effective, and tolerable
treatment option for ulcerative colitis patients prior to
immunosuppressive therapies and steroid treatments, which have
significant safety and tolerability concerns
- Preclinical data demonstrated that oral PL8177 caused
diseased colons to move towards a healthy state and to resolve
damaging inflammation
- Data expected 1Q calendar year 2025
CRANBURY, N.J., Nov. 25,
2024 /PRNewswire/ -- Palatin Technologies, Inc. (NYSE
American: PTN), a biopharmaceutical company developing
first-in-class medicines based on molecules that modulate
the activity of the melanocortin receptor system, today
announced the completion of enrollment in its Phase 2 Study of
PL8177, a potent melanocortin-1 receptor (MC1R) agonist, in
ulcerative colitis (UC). The study is evaluating the safety,
tolerability, efficacy, pharmacokinetics, and biomarkers of orally
administered PL8177 in adult patients with active UC. The last
patient visit is expected to occur in the first quarter of 2025,
with topline data expected shortly thereafter.
"UC is a chronic, often debilitating, and growing condition that
currently affects more than one million people in the United States," stated Carl Spana, Ph.D., President and CEO of Palatin.
"Prior data has demonstrated that oral PL8177 caused diseased
colons to move towards a healthy state and resolved damaging
inflammation. By resolving inflammation rather than blocking it,
oral PL8177 may provide efficacy to patients without the safety and
tolerability concerns of immunosuppressive therapies and steroid
treatments, which have significant safety and tolerability
concerns. Additionally, oral PL8177, as a preferable and more
convenient once-daily pill, could provide an alternative to UC
patients apprehensive about using injectable therapies."
"We look forward to sharing the results of this trial next
quarter," noted Dr. Spana. "Our objective is to out-license the UC
program. At this stage, there has been significant interest in and
ongoing discussions around our UC program from multiple
parties."
Ulcerative colitis is a form of inflammatory bowel disease (IBD)
that causes inflammation in the digestive tract and can result in
damage to the colon lining.2 Patients often experience a
range of unpredictable symptoms that impact their daily lives, such
as abdominal pain, bloody stool and urgency to use the
bathroom.2,3 The disease course varies between patients,
and in some cases can lead to surgery or complications, including
cancer or death.3,4
Orally administered PL8177 targets melanocortin-1 receptors on
the luminal surface of colon epithelial cells. In a Phase 1
clinical study, the oral formulation successfully demonstrated
sustained delivery of PL8177 to the lumen of the colon with no
systemic exposure.
The Phase 2 PL8177 study is a multi-center, randomized,
double-blind, placebo-controlled, adaptive design, parallel group
of PL8177, with once daily (QD) oral dosing in adult UC subjects
for 8 weeks. The study was originally designed to enroll up to 28
adult subjects with active UC from multiple sites, with an interim
analysis planned after completion of 12-16 subjects. Due to the
strategic decision to out-license the UC program at an earlier
stage, Palatin decided to end enrollment after 13 subjects. The
efficacy evaluations and endpoints are in line with the latest FDA
Draft Guidance for Industry: Ulcerative Colitis: Developing Drugs
for Treatment (April 2022), including
the primary efficacy endpoint measurement, the Mayo Endoscopic
Subscore, which evaluates the level of disease in the colon mucosa.
Additional trial information, including inclusion and exclusion
criteria, can be found at https://clinicaltrials.gov/ via the
identifier NCT05466890.
The Company's Phase 2 trial in UC builds upon presented
preclinical data from a series of oral PL8177 dose-ranging studies
in the dextran sulfate sodium (DSS) colon inflammation model, which
showed significant improvements in inflamed colon health, including
relative increases in colon cells needed for a healthy colon.
PL8177 treatment showed clear evidence of resolving pathological
inflammation by repolarizing colon macrophages from a
pro-inflammatory to a pro-inflammation resolving state.
About Melanocortin Receptor Agonists
The
melanocortin receptor ("MCR") system has effects on inflammation,
immune system responses, metabolism, food intake, and sexual
function. There are five melanocortin receptors, MC1R through MC5R.
Modulation of these receptors, through use of receptor-specific
agonists, which activate receptor function, or receptor-specific
antagonists, which block receptor function, can have medically
significant pharmacological effects.
Many tissues and immune cells located in the eye (and other
places, for example the gut and kidney) express melanocortin
receptors, empowering our opportunity to directly activate natural
pathways to resolve disease inflammation.
About PL8177
PL8177 is a synthetic cyclic heptapeptide
with demonstrated efficacy in multiple animal inflammatory bowel
disease models. PL8177 is a potent, selective agonist at the human
melanocortin-1 receptor (MC1R), with sub-nanomolar affinity binding
and EC50 functional values. Palatin data demonstrates that their
oral formulation of PL8177 was protected from degradation in the
stomach and small intestine of humans and delivered to the colon
over an extended period. In addition, orally administered PL8177
had a significant effect on resolving inflammation in a rat bowel
inflammation model.
PL8177 in oral formulations has demonstrated repeated, robust
efficacy in ulcerative colitis disease models. MC1R is found on
epithelial cells and resident macrophages of the colon which are
accessible from the lumen of the colon. Orally administered PL8177
is not systemically absorbed. PL8177 has the potential for
excellent efficacy without safety concerns.
About Ulcerative Colitis
Ulcerative colitis is a
chronic disease of the large intestine (colon), with inflammation
and ulcerations that can cause significant abdominal pain,
persistent diarrhea, loss of appetite and other symptoms. An
estimated 1.25 million individuals in the
United States are affected by ulcerative colitis, with over
350,000 diagnosed with moderate-to-severe disease.¹ Existing
treatments are not effective in a substantial portion of patients
with moderate-to-severe ulcerative colitis, with certain severe
cases resulting in surgical removal of the colon.
About Palatin
Palatin is a biopharmaceutical company
developing first-in-class medicines based on molecules that
modulate the activity of the melanocortin receptor systems, with
targeted, receptor-specific product candidates for the treatment of
diseases with significant unmet medical need and commercial
potential. Palatin's strategy is to develop products and then form
marketing collaborations with industry leaders to maximize their
commercial potential. For additional information regarding Palatin,
please visit Palatin's website at www.Palatin.com and follow
Palatin on Twitter at @PalatinTech.
Forward-looking Statements
Statements in this press
release that are not historical facts, including statements about
future expectations of Palatin Technologies, Inc., such as
statements about Palatin products in development, clinical trial
results, potential actions by regulatory agencies including the
FDA, regulatory plans, development programs, proposed indications
for product candidates, and market potential for product candidates
are "forward-looking statements" within the meaning of Section 27A
of the Securities Act of 1933, Section 21E of the Securities
Exchange Act of 1934 and as that term is defined in the Private
Securities Litigation Reform Act of 1995. Palatin intends that such
forward-looking statements be subject to the safe harbors created
thereby. Such forward-looking statements involve known and unknown
risks, uncertainties and other factors that could cause Palatin's
actual results to be materially different from its historical
results or from any results expressed or implied by such
forward-looking statements. Palatin's actual results may differ
materially from those discussed in the forward-looking statements
for reasons including, but not limited to, results of clinical
trials, regulatory actions by the FDA and other regulatory and the
need for regulatory approvals, Palatin's ability to fund
development of its technology and establish and successfully
complete clinical trials, the length of time and cost required to
complete clinical trials and submit applications for regulatory
approvals, products developed by competing pharmaceutical,
biopharmaceutical and biotechnology companies, commercial
acceptance of Palatin's products, and other factors discussed in
Palatin's periodic filings with the Securities and Exchange
Commission. Palatin is not responsible for updating events that
occur after the date of this press release.
Palatin Technologies® is a registered trademark of
Palatin Technologies, Inc.
1 Lewis JD, Parlett LE, Jonsson Funk ML, et al.
Incidence, prevalence, and racial and ethnic distribution of
inflammatory bowel disease in the United
States. Gastroenterology. 2023;165(5).
doi:10.1053/j.gastro.2023.07.003.
2 The Facts about Inflammatory Bowel Diseases.
Crohn's & Colitis Foundation of America. 2014. Available at:
https://www.crohnscolitisfoundation.org/sites/default/files/2019-02/Updated%20IBD%20Factbook.pdf.
Accessed June 2024.
3 Ulcerative colitis. Mayo Clinic. 2022. Available at:
https://www.mayoclinic.org/diseases-conditions/ulcerative-colitis/symptoms-causes/syc-20353326.
Accessed June 2024.
4 Monstad, I, Hovde O, Solberg IC, A Moum B.
Clinical course and prognosis in ulcerative colitis: results from
population-based and observational studies. Ann Gastroenterol.
2014;27(2):95-104.
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