INV104 (zafirlukast) presentation - status and milestones
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INV104 (zafirlukast)
Target: a novel inhaled non-steroidal anti-inflammatory treatment for asthma
Target: an inhaled reformulation of a successful oral therapeutic for asthma
INV104 (zafirlukast):
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Leukotriene-receptor antagonist (LTRA) or “anti-leukotriene” that reduces inflammation,
constriction of the airways, and the build-up of mucus in the lungs
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Approved worldwide as an oral tablet for asthma (AstraZeneca)
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Well established clinical efficacy & safety profile
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Inhaled proof of concept using propellants that are now banned (CFCs)
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Inhaled formulation indicated as monotherapy for mild persistent asthma and
exercise-induced asthma
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Indicated to reduce inhaled corticosteroid (ICS) dependency in adults and children
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as an alternative as first controller medication in mild persistent and moderate asthma
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by addition to low dose ICS treatment rather than doubling ICS
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by enabling reduced ICS dose “steroid sparing” in steroid-dependent asthma
Inhaled zafirlukast an anti-leukotriene: background and rationale
Defined safety
profile
Defined CMC
Airway & nasal
secretions are rich in
LTC4, D4 and E4
(cysteinyl
leukotrienes)
Strong scientific
rationale
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Excellent flow
characteristics shown
in DPI (Turbuhaler) as
well as conventional
pMDI (1980s-90s)
Full toxicology
package completed
using CFC-based
delivery system
Single and multiple
inhaled forms showed
no dose-limiting side
effects or blood levels
Known tox/ ADME
profile
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Zeneca (now A/Z) stopped inhaled development in mid 1990s.
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Zafirlukast and montelukast have resisted formulation in non-cfc propellant systems.
200mcg demonstrated
12 hour protection
from allergen. Once
daily dosing
achievable at
<1000mcg/day
Established efficacy
& defined dose
for inhalation
FDA pre-IND established framework for reformulation of zafirlukast
Agreement reached with FDA on:
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chemistry manufacturing and controls (GMP)
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active pharmaceutical ingredient (API) with drug master file (DMF)
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formulation: dry powder inhaler (DPI) approved for development
toxicology and bioanalytical assay (GLP) to support 4 weeks’ dosing
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2 species for 28 days: naso-pulmonary exposure
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1 species for 6 months
IND submission and clinical program
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phase I: single rising dose study for safety (paradoxical bronchoconstriction) and
pharmacokinetics
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phase I: multiple dose safety study for safety (paradoxical bronchoconstriction) and
pharmacokinetics
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phase II: challenges to reprise previous studies: cold air, exercise and allergen [cat and
ragweed]; steady state dosing for signs and symptoms of asthma [diary card] and attenuation
of response to exercise and/or allergen
Inhaled Product Rationale
Oral
Forms
Risk of neuropsychiatric/suicide ideation events?
Risk of liver toxicity ?
Greater efficacy due to higher airway concentrations
Potential for once a day dosing ?
Potential for expanded EIB claims ?
Rapid onset-of-action for prophylaxis ?
Potential claim to reduce use of Steroids/ LABA ?
Potential claim for use in children >5 years ?
Combination with ICS for anti-inflammatory effect?
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Singulair
Prevention Only
Inhaled
Form
Hovione CMC collaboration mitigates major risk of inhaled zafirlukast development
Formulation & device partner, Hovione
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Invion will collaborate with Hovione to develop the proprietary novel technology – a dry powder
formulation of zafirlukast and the accompanying inhalational delivery device
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under the terms of the agreement, Hovione will provide chemistry and manufacturing services to
develop and optimise the dry powder inhalation formulation which will be delivered using its
proprietary device technology known as the XCaps inhaler system
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Hovione device is ideally suited for fixed combination with ICS, bronchodilators, or INV102
(nadolol).
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IP protection provided under licence via Hovione formulation and device, Invion retains
commercialisation rights
CMC solution complements existing and planned toxicology and clinical packages
> previously completed using CFC-based device
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Clinical proof of concept based on inhalational challenge studies; previously completed using
CFC-based device
About Hovione and the XCaps inhaler
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International company with over 50 years’
experience in the development and compliant
manufacture of active pharmaceutical ingredients
and drug product intermediates
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With four FDA inspected sites in the U.S., China,
Ireland, and Portugal, the company focuses on the
most demanding customers, in the most regulated
markets
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In the inhalation area, Hovione is the only
independent company offering such a broad range
of services.
XCaps is a patent protected device filed and granted in
over 40 countries, including US (US 8677992) and EU
(EP 2546460). XCaps device is simple, reusable and lowcost. This DPI is indicated for applications where a
chronic or a medium term acute capsule based delivery of
an API is needed.
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Expected placement of inhaled zafirlukast in treatment regimes
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As many as 334 million people have
asthma which occurs in people of all
ages. Wheeze is the most common
symptom and the burden of disability is
high.
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In 2007 the U.S. spent over $56 billion
on asthma care, of which nearly $27
billion was spent on pediatric asthma.
Inhaled zafirlukast
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targeted for use as a controller/
preventer with few or no side effects for
the full range of asthma therapy
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especially useful in LTD4-driven
asthma including aspirin sensitivity and
in children
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indicated as steroid sparing
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inhaler will facilitate substitution for
inhaled corticosteroids (ICS)
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for many patients, inhaled product
alone (monotherapy) will be effective
Inhaled zafirlukast program: progress and clinical development strategy
Clinical benefits
FDA approved as an oral asthma therapy
Proof of concept previously conducted using inhaled drug
Non-steroidal
Higher local concentrations without systemic exposure (decreased risk of generic duplication)
Status of collaboration with Hovione for proprietary formulation and device using Hovione’s patented XCaps inhaler
system
Formulation and device selected
Program of works for manufacture of toxicology and clinical supplies
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Formulation complete for toxicology (non GMP) (3Q2015)
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Toxicology supplies manufactured (3Q2015)
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Clinical supplies manufactured to support IND and Phase 1 (4Q2015-1Q2016)
Development program
Pre-IND status with FDA
Formulation and device collaboration
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Commencement of toxicology studies (4Q2015)
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IND submission (1Q2016)
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Phase I and Phase II clinical studies in (Q1-4 2016)
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