Entry ID | 1307 |
INN | Apitegromab |
Status | Clinical |
Drug code(s) | SRK-015 |
Brand name | None |
mAb sequence source | mAb human |
General Molecular Category | Naked monospecific |
Format, general category | Full length Ab |
Format details | None |
Isotype (Fc) | IgG4 |
Light chain isotype | lambda |
Linker | None |
Ave. DAR | None |
Conjugated/fused moiety | None |
Discovery method/technology | Phage display |
Target(s) | Myostatin |
Indications of clinical studies | Preservation of lean muscle mass in individuals with obesity, Type 2 or Type 3 Spinal Muscular Atrophy, Phase 1 in health volunteers |
Primary therapeutic area | Muscular disorders |
Most advanced stage of development (global) | Phase 3 |
Status | Active |
Start of clinical phase (IND filing or first Phase 1) | April 15, 2018 |
Start of Phase 2 | April 22, 2019 |
Start of Phase 3 | February 24, 2022 |
Date BLA/NDA submitted to FDA | |
Year of first approval (global) | None |
Date of first US approval | |
INN, US product name | None |
US or EU approved indications | None |
Company | Scholar Rock |
Licensee/Partner | None |
Comments about company or candidate | Aug 2024: On track to report topline data from Phase 3 SAPPHIRE clinical trial in 4Q 2024. If the trial is successful and apitegromab is approved, the Company expects to initiate a commercial product launch in 2025. (https://investors.scholarrock.com/news-releases/news-release-details/scholar-rock-reports-second-quarter-2024-financial-results-and) NCT05156320 SAPPHIRE study started in Feb 2022 recruiting as of last update in May 2023. Nov 2021: SAPPHIRE, a Phase 3 trial of apitegromab, will evaluate the efficacy and safety of apitegromab in patients with non-ambulatory Type 2 and Type 3 spinal muscular atrophy (SMA), which is estimated to represent approximately two-thirds of the overall SMA patient population. Study start-up activities for SAPPHIRE have commenced. May 2021: U.S. Food and Drug Administration (FDA) has granted Fast Track designation for apitegromab, a selective inhibitor of myostatin activation, for the treatment of patients with Spinal Muscular Atrophy May 2021: A Phase 3 registrational trial is anticipated to initiate by the end of 2021. Aug 2020: Scholar Rock announced that the U.S. Food and Drug Administration (FDA) has granted Rare Pediatric Disease (RPD) designation for SRK-015 for the treatment of Spinal Muscular Atrophy May 08, 2019: Scholar Rock Holding Corporation, a clinical-stage biopharmaceutical company focused on the treatment of serious diseases in which protein growth factors play a fundamental role, today announced the initiation of patient dosing in the Phase 2 clinical trial of SRK-015, a highly specific inhibitor of myostatin activation, in Type 2 and Type 3 Spinal Muscular Atrophy (SMA). NCT03921528 Phase 2 study started recruiting in April 2019. As of March 4, 2019, a Phase 1 clinical trial in healthy volunteers is ongoing and a Phase 2 trial is expected to initiate by the end of the first quarter of 2019. The U.S. Food and Drug Administration (FDA) has granted Orphan Drug Designation (ODD), and the European Commission (EC) has granted Orphan Medicinal Product Designation, to SRK-015 for the treatment of SMA. Scholar Rock's SRK-015, being developed to treat patients with spinal muscular atrophy, was given orphan drug status by the European Medicines Agency. May 31, 2018: Scholar Rock, a biopharmaceutical company focused on the discovery and development of innovative medicines for the treatment of serious diseases in which signaling by protein growth factors plays a fundamental role, today announced that it has completed dosing of the first cohort and is continuing enrollment of healthy volunteers in its Phase 1 clinical trial of SRK-015, the Company’s lead antibody product candidate. U.S. Food and Drug Administration (FDA) has granted Orphan Drug Designation (ODD) to its lead antibody product candidate, SRK-015, for the treatment of spinal muscular atrophy (SMA). SRK-015 is an inhibitor of the activation of myostatin, which Scholar Rock believes has the potential to be the first muscle-directed therapy to reverse or prevent muscle atrophy in SMA patients and could be used both as a monotherapy or in conjunction with the current standard of care |
Full address of company | 301 Binney Street, 3rd Floor, Cambridge, MA 02142 North America United States of America https://scholarrock.com/contact-us/ |
Dagbay et al. Structural basis of specific inhibition of extracellular activation of pro- or latent myostatin by the monoclonal antibody SRK-015. (https://www.jbc.org/content/295/16/5404.short). Full-length human and murine Myostatin and GDF11 proteins were stably integrated into FLP-INTM T-REXTM 293 cells (Life Technologies, Carlsbad, CA) and expressed according to manufacturer’s instructions (Uniprot reference numbers: O14793, O08689, O95390, Q9Z1W4). Fully human anti-myostatin and anti-GDF11 antibodies were identified using a phage library displaying scFvs (single chain variable fragments)64. Separate antibody discovery campaigns were run using recombinant human proMyostatin, latent Myostatin, and proGDF11 for both positive and negative selection as appropriate to obtain antibodies with the desired binding profile. Antibodies were cloned and expressed using standard techniques, and binding profiles assessed on a FortéBio Octet QKe in various formats according to manufacturers directions (Supplementary methods). To potentially reduce immunogenicity, SRK-015 was generated from its parental version, SRK-015P, by introduction of five mutations in the variable domain. These antibodies are identical in the complementarity determining regions (CDRs) and have similar affinities and functional activity both in vitro and in vivo. muSRK-015P is identical to SRK-015P but contains a murine IgG1 constant region instead of a human IgG4 constant region. SRK-015, an optimized version of the best myostatin selective antibody identified in our screen (SRK-015P, P stands for “parental”). SRK-015 was engineered by replacing five resides in the variable domain of SRK-015P outside of the complementarity-determining region (the residues which contact the myostatin precursors). SRK-015 showed a slight increase in affinity for myostatin precursors.
Anticipated events | Marketing application possible in 2024/2025 |
Factor(s) contributing to discontinuation | None |