Lampalizumab is first therapeutic to show efficacy in phase 2 trial for geographic atrophy
KOLOA, Hawaii — Geographic atrophy is estimated to affect more than 5 million patients globally, including 1 million in the United States, and while there is currently no approved treatment, several therapeutics are currently in phase 2 and phase 3 trials, according to a speaker here.
“Geographic atrophy (GA) causes irreversible loss of visual function. Lampalizumab is the first potential therapeutic to show evidence of efficacy in a phase 2 trial. There are ongoing trials, and there is a rollover into an open label. Reducing geographic atrophy could, theoretically, change the trajectory of visual loss and degradation,” Steven D. Schwartz, MD, said at Retina 2017.
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Steven D. Schwartz
Lampalizumab (Roche) is a humanized monoclonal antibody that inhibits factor D. The theory is it blocks activation of the alternative complement pathway while preserving the host-defense response, Schwartz said.
Schwartz noted the MAHALO phase 2 study, which assessed the safety, tolerability and evidence of activity of lampalizumab, found a 20% reduction in GA area progression when compared with a sham treatment. In the 57% of patients who tested positive for a CFI biomarker, the treatment showed a 44% reduction of GA area progression at month 18 when compared with a sham treatment.
The results of the study are being validated in the ongoing phase 3 CHROMA and SPECTRI trials, he said. – by Robert Linnehan
Reference:
Schwartz SD. Lampalizumab for geographic atrophy. Presented at: Retina 2017; Jan. 16-20, 2017; Koloa, Hawaii.
Disclosure: Schwartz reports he is an investigator in phase 3 and open label extension studies and that Genentech is a research sponsor. He reports third-party writing assistance was provided by Kathryn H. Condon, PhD, CMPP, of Envision Scientific Solutions, and funded by Genentech, a member of the Roche group, content directed by presenter.