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Atea Pharmaceuticals C-BEYOND Trial Shows BEM/RZR Non-Inferior to SOF/VEL
Atea Pharmaceuticals announced topline results from C-BEYOND, its Phase 3 trial conducted in North America evaluating the once-daily fixed-dose combination of bemnifosbuvir and ruzasvir for the treatment of chronic hepatitis C virus infection. BEM/RZR demonstrated statistical non-inferiority compared to the fixed-dose combination of sofosbuvir and velpatasvir in the modified intent-to-treat population, achieving the trial's primary endpoint. C-BEYOND enrolled patients reflective of the current real-world population living with HCV in the US and Canada. In the mITT analysis, BEM/RZR achieved a 93.9% sustained virologic response rate vs. 94.8% for SOF/VEL at Week 24, encompassing SVR at 12 weeks post-treatment in both arms. These results achieved the primary endpoint of statistical non-inferiority, with a 95% confidence interval for difference in SVR rates within the prespecified 5% margin. The mITT analysis in patients without cirrhosis showed BEM/RZR achieved a 93.5% SVR rate vs. 94.6% for SOF/VEL. In patients with cirrhosis, BEM/RZR achieved a 95.4% SVR rate vs. 95.4% for SOF/VEL. In C-BEYOND, rates of virologic failure across all populations were low and comparable between treatment arms. Statistical non-inferiority was also met in secondary endpoints, including the per-protocol analysis. BEM/RZR was administered as an 8-week regimen to patients without cirrhosis compared with the 12-week regimen of SOF/VEL, highlighting the potential of BEM/RZR to deliver robust antiviral efficacy with a shorter treatment duration. In the US, approximately 80-90% of people living with HCV do not have cirrhosis. Together with its potential advantages of a shorter treatment duration for most patients, low risk of drug-drug interactions and no food effect, the results from C-BEYOND further reinforce BEM/RZR's potential as a differentiated, best-in-class treatment option for people with HCV. In C-BEYOND, BEM/RZR demonstrated robust SVR rates across HCV genotypes that predominate in North America. C-FORWARD, which is being conducted outside North America, includes a broader range of HCV genotypes and is expected to provide additional efficacy data in genotypes more frequently found outside the US and Canada. In C-BEYOND, BEM/RZR was generally safe and well tolerated with no drug-related serious adverse events or drug related early treatment discontinuations. Safety was comparable between treatment arms. C-BEYOND was conducted at approximately 120 sites in the US and Canada. C-FORWARD, which is fully enrolled with more than 880 patients, is being conducted at approximately 120 sites in 17 countries outside North America and is on track to report topline results in early 2027. Atea plans to present the detailed results of its global Phase 3 program in HCV at future medical conferences and submit to peer-reviewed medical journals for publication.
Atea Pharmaceuticals Initiates First-in-Human Trial for AT-587
Atea Pharmaceuticals announced the initiation of a first-in-human Phase 1 clinical trial evaluating AT-587, for the treatment of hepatitis E virus infection. AT-587 is a proprietary oral antiviral nucleotide analog being developed for the treatment of HEV, a potentially serious liver disease that can lead to chronic infection, cirrhosis and liver failure in certain patient populations.
Atea Pharmaceuticals Completes Patient Enrollment in C-FORWARD Clinical Trial
Atea Pharmaceuticals announced completion of patient enrollment in C-FORWARD, its Phase 3 clinical trial outside North America, evaluating the regimen of bemnifosbuvir and ruzasvir for the treatment of hepatitis C virus infection. The anticipated topline results from C-BEYOND, the Phase 3 trial conducted in the US and Canada, remain on track for mid-year 2026.
Atea Pharmaceuticals Showcases Antiviral Potential of AT-587 and AT-2490
Atea Pharmaceuticals announced in vitro results showing that two proprietary oral nucleotide analogs, AT-587 and AT-2490, exhibit promising antiviral profiles as potential first-in-class inhibitors for the treatment of Hepatitis E virus infection, a positive-sense, single-stranded RNA virus that primarily infects liver cells. These results were presented at the Conference on Retroviruses and Opportunistic Infections, taking place February 22-25 in Denver, Colorado. In vitro studies demonstrated that AT-587 and AT-2490 were potent inhibitors of HEV replication. AT-587 and AT-2490 were 30-150-fold more potent against HEV compared to sofosbuvir and ribavirin. Analyses showed the two compounds were also active against other viruses, including all flaviviruses tested, rubella and chikungunya. Antiviral activity of AT-587 and AT-2490 in the tissue of interest -- human liver cells -- was indicated by the formation of high amounts of active metabolite of each compound. Neither compound showed any toxicity. In January, Atea announced the selection of AT-587 as the lead product candidate for the HEV clinical program and plans to initiate a Phase 1 program mid-year. "We are excited to share these preclinical results at CROI showing the potent activity and promising in vitro safety profiles of AT-2490 and AT-587, our HEV product candidate. These results underscore the potential of AT-587 as a first-in-class direct acting antiviral for HEV," said Jean-Pierre Sommadossi, PhD, Chief Executive Officer and Founder of Atea. "With no antivirals currently marketed for HEV, AT-587 has the potential to address a significant unmet need for a treatment option for patients with chronic HEV infection who are immunocompromised or at high risk for rapid progression to cirrhosis. We look forward to advancing AT-587 to a Phase 1 program mid-year."
Atea Completes Enrollment of 880 Patients in C-BEYOND Phase 3 Trial
Atea Pharmaceuticals announced completion of enrollment of more than 880 treatment-naive patients in the C-BEYOND Phase 3 trial evaluating the fixed-dose combination, FDC, regimen of bemnifosbuvir and ruzasvir compared to the FDC regimen of sofosbuvir and velpatasvir for the treatment of hepatitis C virus, HCV. C-BEYOND is being conducted at approximately 120 clinical trial sites in the US and Canada. Phase 3 topline results are expected mid-year 2026.
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