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Three Patients With Invasive Fusarium Infection in Matinas BioPharma's Oral MAT2203 Compassionate/Expanded Use Access Program Achieve Complete Clinical Response

Three Patients With Invasive Fusarium Infection in Matinas BioPharma's Oral MAT2203 Compassionate/Expanded Use Access Program Achieve Complete Clinical Response

在 Matinas BioPharma 的口服 MAT2203 同情/擴大使用准入計劃中,三名侵入性鐮刀菌感染患者獲得完整臨床反應
GlobeNewswire ·  03/22 09:15

BEDMINSTER, N.J., March  22, 2024  (GLOBE NEWSWIRE) -- Matinas BioPharma Holdings, Inc. (NYSE American: MTNB), a clinical-stage biopharmaceutical company focused on delivering groundbreaking therapies using its lipid nanocrystal (LNC) platform delivery technology, announces complete clinical response in three patients with serious invasive fusarium infection following treatment with MAT2203, Matinas' oral formulation of the potent antifungal amphotericin B. All three patients were enrolled in the Company's Compassionate/Expanded Use Access Program and were treated by Marisa H. Miceli, MD, Professor of Medicine, Specializing in Fungal Infections and Transplant Diseases, Division of Infectious Diseases, Internal Medicine, at the University of Michigan.

新澤西州貝德明斯特,2024年3月22日(GLOBE NEWSWIRE)——專注於使用其脂質納米晶體(LNC)平台交付技術提供開創性療法的臨床階段生物製藥公司Matinas BioPharma Holdings, Inc.(紐約證券交易所美國股票代碼:MTNB)宣佈,在接受馬蒂納斯口服制劑 MAT2203 治療後,三名嚴重侵入性鐮刀菌感染患者出現完全臨床反應強效抗真菌兩性黴素 B。所有三名患者均加入了公司的同情/擴大使用准入計劃並接受了治療作者:密歇根大學內科傳染病系醫學教授,專門研究真菌感染和移植疾病,醫學教授瑪麗莎·米塞利。

"Invasive fusarium infection is often difficult to treat as clinically relevant fusarium species are resistant to almost all currently used antifungals including azoles and echinocandins, making it highly gratifying to announce the complete clinical response following treatment with oral MAT2203 for these seriously ill patients with limited treatment options," said Theresa Matkovits, PhD, Chief Development Officer of Matinas. "While we don't have the exact isolates and corresponding minimum inhibitory concentrations for all these patients, we do know that effective treatment of fusarium generally requires higher concentrations of amphotericin B than invasive aspergillosis, for example. The successful MAT2203 treatment outcome in these patients therefore adds to our confidence for the upcoming ORALTO Phase 3 trial in patients suffering from invasive aspergillosis with limited treatment options. We are grateful to these patients for participating in our program."

Matinas首席開發官特蕾莎·馬特科維茨博士說:“侵入性鐮刀菌感染通常難以治療,因爲與臨床相關的鐮刀菌物種對幾乎所有目前使用的抗真菌藥都有耐藥性,包括唑類和紫錐菌素,因此非常高興地宣佈,在口服 MAT2203 治療後,這些治療選擇有限的重病患者將獲得完整的臨床反應。”“雖然我們沒有針對所有這些患者的確切分離株和相應的最低抑制濃度,但我們確實知道,與侵入性麴黴病相比,有效的鐮刀菌治療通常需要更高濃度的兩性黴素B。因此,這些患者成功的 MAT2203 治療結果增強了我們對即將開展的針對侵入性麴黴病患者且治療選擇有限的 ORALTO 3 期試驗的信心。我們感謝這些患者參與我們的計劃。”

A 40-year-old female patient with extensive burns on more than 34% of her body developed complications of a urinary tract infection, ventilator-associated pneumonia, and C. difficile colitis. Her treatment required multiple surgical operations for debridement of wounds and skin grafting and she developed a soft tissue fusarium infection of the left foot at a skin grafting site, which was resistant to voriconazole. Treatment with IV-amphotericin B led to nephrotoxicity and her fusarium infection showed resistance to all other antifungals. She was transitioned to oral MAT2203 for two weeks, which led to clinical resolution of her fungal infection.

一名40歲的女性患者身體嚴重燒傷超過 34%,出現尿路感染、呼吸機相關性肺炎和艱難梭菌結腸炎等併發症。她的治療需要多次手術來清創傷和皮膚移植,而且她在皮膚移植部位出現了左腳軟組織鐮刀菌感染,該部位對伏立康唑具有耐藥性。使用 IV-Amphotericin B 治療導致腎毒性,她的鐮刀菌感染顯示出對所有其他抗真菌藥物的耐藥性。她接受了爲期兩週的口服 MAT2203,這使她的真菌感染得到臨床緩解。

A 48-year-old female renal transplant recipient with a weakened immune system developed chronic non-healing leg wounds.   A fungal skin lesion culture was positive for an azole-resistant fusarium infection, which was only susceptible to amphotericin B. The patient was unable to receive long-term treatment with IV-amphotericin B due to her underlying condition, including risk for development of nephrotoxicity, and was transitioned to oral MAT2203. She began to show clinical improvement following two weeks of oral MAT2203 treatment and her skin wounds completely healed following six months of MAT2203 treatment.

一名免疫系統較弱的48歲女性腎移植受者出現了慢性腿部傷口,無法癒合。真菌皮膚病變培養對耐唑類鐮刀菌感染呈陽性,該感染僅對兩性黴素 B 易感。該患者由於其潛在病情,包括髮生腎毒性的風險,無法接受靜脈注射-兩性黴素 B 的長期治療,因此轉爲口服 MAT2203。經過兩週的口服 MAT2203 治療,她開始表現出臨床改善,經過六個月的 MAT2203 治療,她的皮膚傷口完全癒合。

A 69-year-old man with coronary artery disease, hyperlipidemia, hypertension, emphysema, aortic valve replacement, with small cell lung cancer being treated with chemotherapy, developed fever. CT scans exhibited a left upper lobe consolidation of the lung with a culture showing positive for an azole-resistant fusarium species. The patient was treated with oral MAT2203 on an out-patient basis for six months. Repeat CT scan following MAT2203 treatment showed improvement in fungal infection, with some new nodules due to progression of malignancy.

一名患有冠狀動脈疾病、高脂血症、高血壓、肺氣腫、主動脈瓣置換術以及接受化療治療的小細胞肺癌的69歲男子出現發熱。CT 掃描顯示肺部左上葉鞏固,培養物顯示耐唑類鐮刀菌呈陽性。該患者在門診接受了爲期六個月的口服 MAT2203 治療。MAT2203 治療後重復 CT 掃描顯示真菌感染有所改善,由於惡性腫瘤的進展,出現了一些新的結節。

These three patients with fusarium infection are included in the 19 total patients discussed in Matinas' recently announced update to the MAT2203 Compassionate/Expanded Use Access Program; however, two of the three patients had not yet achieved complete clinical resolution at the time of that report.

這三名鐮刀菌感染患者包含在馬蒂納斯最近宣佈的 MAT2203 同情/擴大使用准入計劃更新中討論的總共19名患者中;但是,在該報告發布時,三名患者中有兩名尚未獲得完全的臨床解決方案。

"MAT2203 continues to demonstrate its potential to effectively treat invasive fungal infections and help patients achieve complete clinical resolution. These very sick patients unfortunately are faced with a variety of complex medical challenges in addition to their fungal disease. MAT2203 has demonstrated the ability to resolve these deadly infections, allowing physicians to concentrate their efforts on the patients' other underlying conditions," said Jerome D. Jabbour, Chief Executive Officer of Matinas.   "If approved, an oral, effective and safe MAT2203 could represent a new treatment paradigm for the unmet medical need in the treatment of invasive fungal infections."

“MAT2203 繼續展示其有效治療侵襲性真菌感染和幫助患者獲得完全臨床解決的潛力。不幸的是,這些病情嚴重的患者除了真菌病外,還面臨着各種複雜的醫療挑戰。MAT2203 已顯示出解決這些致命感染的能力,使醫生能夠將精力集中在患者的其他潛在疾病上。” Matinas首席執行官傑羅姆·賈布爾說。“如果獲得批准,口服、有效和安全的 MAT2203 可以爲侵入性真菌感染治療中未得到滿足的醫療需求提供一種新的治療模式。”

MAT2203 is not yet licensed or approved anywhere globally.

MAT2203 尚未在全球任何地方獲得許可或批准。

About MAT2203
Matinas BioPharma is developing MAT2203 as a potential oral broad-spectrum treatment for invasive deadly fungal infections. Although amphotericin B is a fungicidal agent, it is currently only available through an intravenous route of administration, which is known to be associated with several significant safety issues such as renal toxicity and anemia due to very high circulating levels of amphotericin B. MAT2203 has the potential to overcome the significant limitations of the currently available amphotericin B products due to its targeted oral delivery. Combining comparable fungicidal activity with targeted delivery results in a lower risk of toxicity and potentially creates the ideal antifungal agent for the treatment of invasive fungal infections. MAT2203 was successfully evaluated in the completed Phase 2 EnACT study in HIV patients suffering from cryptococcal meningitis, meeting its primary endpoint, and achieving robust survival. MAT2203 will be further evaluated in a single Phase 3 registration trial (the "ORALTO" trial) as an oral step-down monotherapy following treatment with AmBisome (liposomal amphotericin B) compared with the standard of care in patients with invasive aspergillosis who have limited treatment options.

關於 MAT2203
Matinas BioPharma 正在開發 MAT2203,作爲侵入性致命真菌感染的潛在口服廣譜療法。儘管兩性黴素 B 是一種殺菌劑,但目前只能通過靜脈給藥途徑獲得,已知靜脈注射與一些重大的安全問題有關,例如由於兩性黴素 B 的循環水平非常高,導致腎毒性和貧血。MAT2203 有可能克服目前可用的兩性黴素 B 產品由於其定向口服給藥而面臨的重大侷限性。將類似的殺菌活性與靶向給藥相結合可以降低毒性風險,並有可能爲治療侵入性真菌感染創造理想的抗真菌藥物。在針對患有隱球菌腦膜炎的 HIV 患者的已完成的 2 期 eCant 研究中,MAT2203 成功進行了評估,達到了其主要終點並實現了穩健的存活率。MAT2203 將在一項單一 3 期註冊試驗(“ORALTO” 試驗)中作爲一種口服降壓單一療法,在使用 AmbiSome(脂質體兩性黴素 B)治療後與治療選擇有限的侵入性麴黴病患者的標準護理進行進一步評估。

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