Novel Phase 3 Trial Design to Evaluate Bemnifosbuvir as Monotherapy and Combination Antiviral Therapy for COVID-19
Trial to Focus on High-Risk Patients at Greatest Risk for Disease Progression
Trial Expected to Initiate in Fourth Quarter 2022
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Bemnifosbuvir is an investigational orally administered, non-mutagenic, non-teratogenic, direct-acting antiviral derived from Atea’s purine nucleos(t)ide prodrug platform. Results from the late-stage MORNINGSKY trial showed a 71% reduction in hospitalization (secondary endpoint) with bemnifosbuvir versus placebo (p=0.047, unadjusted, exploratory) (n=207). In a subgroup analysis, patients > 40 years old had an 82% reduction in hospitalization.
“This novel Phase 3 trial design puts us at the forefront of clinical research for new COVID-19 antiviral therapies. In addition to the potential for an approval of bemnifosbuvir as a COVID-19 monotherapy, this trial will move the treatment field forward for combination antiviral therapy, which could be especially meaningful for people at the highest risk of disease progression,” said Jean-Pierre Sommadossi, PhD, Chief Executive Officer and Founder of
Bemnifosbuvir targets SARS-CoV-2 RNA polymerase (nsp12), a highly conserved gene that is unlikely to change as the virus mutates and new variants continue to emerge. This gene is responsible for both replication and transcription of SARS-CoV-2. The inhibition of RNA polymerase has been shown in vitro to effectively block production of SARS-CoV-2. In addition, in vitro data confirm that bemnifosbuvir is active with similar efficacy against all variants of concern or interest that have been tested, suggesting antiviral activity against future variants. Bemnifosbuvir’s unique mechanism with dual targets is designed to create a high barrier to resistance.
Global Phase 3 Registrational Study Design
The randomized, double-blind, placebo-controlled, global Phase 3 study will evaluate bemnifosbuvir or placebo administered concurrently with locally available standard of care (SOC). The study is designed to enroll at least 1,500 high-risk non-hospitalized patients with mild or moderate COVID-19. Patients will be randomized 1:1 to receive either bemnifosbuvir 550 mg twice-daily (BID) plus locally available SOC or placebo BID plus locally available SOC for five days.
This trial will include two populations derived from the type of SOC received. They include 1) “Supportive care population” (the patient does not qualify for an approved antiviral treatment or where antivirals are not locally available) which will assess bemnifosbuvir given as monotherapy (primary analysis) and 2) “Combination antiviral population” which will assess combination therapy if the SOC includes treatment with other compatible antiviral drugs against COVID-19 (secondary analysis).
The primary endpoint of the study is all-cause hospitalization or death through Day 29 in the supportive care population in at least 1,300 patients. Secondary endpoints in each patient population include: COVID-19 complications, medically attended visits, symptom rebound / relapse and viral load rebound.
The patient population will consist of those at the highest risk for disease progression, including patients ≥ 80 years old, patients ≥ 65 years old with ≥ one major risk factor, and immunocompromised patients ≥ 18 years old, all regardless of COVID-19 vaccination status.
The study is expected to have a global footprint with approximately 300 clinical trial sites in the
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Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including without limitation statements regarding our expectations surrounding the potential of our product candidates, including bemnifosbuvir combination product candidates, and expectations regarding our pipeline, including trial design and development timelines. These statements are neither promises nor guarantees, but involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements, including, but not limited to, the uncertainty around and costs associated with the clinical development of bemnifosbuvir as a potential treatment for COVID-19 and HCV. These and other important factors discussed under the caption “Risk Factors” in our Annual Report on Form 10-K for the year ended
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617-818-2985
Barnes.jonae@ateapharma.com
Will O’Connor
Stern Investor Relations
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will.oconnor@sternir.com
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