TAbS







Lirentelimab Terminated Naked monospecific

Antibody Information

Entry ID 1802
INN Lirentelimab
Status Terminated
Drug code(s) AK002, Antolimab
Brand name None
mAb sequence source mAb humanized
General Molecular Category Naked monospecific
Format, general category Full length Ab
Format details None
Isotype (Fc) IgG1
Light chain isotype kappa
Linker None
Ave. DAR None
Conjugated/fused moiety None
Discovery method/technology None

Therapeutic information

Target(s) Siglec-8
Indications of clinical studies Atopic Dermatitis, eosinophilic Esophagitis, Eosinophilic Gastritis, Chronic Urticaria, Systemic mastocytosis, Atopic Keratoconjunctivitis, Vernal Keratoconjunctivitis, and Perennial Allergic Conjunctivitis
Primary therapeutic area Immune-mediated / inflammatory disorders

Development stage information


Most advanced stage of development (global) Terminated at Phase 3
Status Inactive
Start of clinical phase (IND filing or first Phase 1) June 15, 2016
Start of Phase 2 January 23, 2018
Start of Phase 3 March 15, 2020
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 information

Company Allakos Inc
Licensee/Partner None
Comments about company or candidate January 16, 2024: Allakos Announces Phase 2 Lirentelimab Trials in Atopic Dermatitis and Chronic Spontaneous Urticaria Did Not Meet Their Primary Endpoints. Allakos plans not to pursue further development of lirentelimab; will focus on AK006 clinical development and additional preclinical programs – Sep 2022: EoDyssey, a 24-week, Phase 3, randomized, double-blind, placebo-controlled study of lirentelimab in patients with biopsy confirmed eosinophilic duodenitis (EoD) met its histologic co-primary endpoint, but it did not achieve statistical significance on the patient reported symptomatic co-primary endpoint, in both the intent to treat (ITT) population and in a prespecified subpopulation. Allakos is not planning to conduct additional studies in eosinophilic gastrointestinal diseases, but may do so in the future. Allakos is focusing development efforts for lirentelimab in atopic dermatitis and chronic spontaneous urticaria and on AK006. Allakos is conducting a Phase 2 randomized, double-blind, placebo-controlled study of subcutaneous lirentelimab in patients with moderate-to-severe atopic dermatitis and a Phase 2b randomized, double-blind, placebo-controlled study of subcutaneous lirentelimab in patients with chronic spontaneous urticaria. The Company anticipates reporting topline data from these studies in the second half of 2023. July 2022 company presentation: Topline data in EoD expected Q3 2022, but no mention of submission plans NCT04620811 Phase 3 in Eosinophilic Duodenitis Oct 2020: Results of Phase 2 study of lirentelimab (AK002) in patients with eosinophilic gastritis and/or eosinophilic duodenitis (ENIGMA) published in the New England Journal of Medicine. Aug 2020: The nonproprietary (generic) name of AK002 was changed from antolimab to lirentelimab as a result of trademark issues identified outside of the United States. Lirentelimab has been adopted by the United States Adopted Names (USAN) Council and World Health Organization (WHO) International Nonproprietary Names (INN) Program. NCT04322604 Phase 3 and NCT04322708 Phase 2/3 study started in March 2020. February 11, 2019 I Allakos Inc., a biotechnology company developing AK002 for the treatment of eosinophil and mast cell related diseases, today announced positive Phase 2 results for AK002 in patients with Xolair refractory chronic spontaneous urticaria (CSU). The Xolair failure cohort enrolled 11 patients who failed to have an adequate response to prior Xolair treatment. Patients in this cohort had received an average of 10 months of Xolair treatment at doses as high as 600 mg per month. The primary efficacy endpoint was change from baseline in Urticaria Control Test (UCT) assessed at week 22, two weeks after the last dose of AK002. NCT03496571 Phase 2 study in EG recruiting as of July 2018. NCT02859701 Phase 1 initial dosing announced Sep 15, 2016. US orphan drug designation for EG and EGE
Full address of company 825 Industrial Road, Suite 500, San Carlos, CA 94070
North America
United States of America
https://www.allakos.com/contact/

Description/comment

AK002 is a humanized non-fucosylated immunoglobulin G1 (IgG1) monoclonal antibody directed against Siglec-8, a member of the CD33-related family of sialic acid-binding, immunoglobulin-like lectins (Siglecs). AK002 selectively depletes mast cells and eosinophils. Binding of AK002 to specific receptors present on mast cells and eosinophils results in removal of these cells by a natural defense mechanism within the body called antibody-dependent cell-mediated cytotoxity.

Additional information

Anticipated events None
Factor(s) contributing to discontinuation Lack of efficacy