Regenxbio Inc. · NASDAQ:RGNX
Regenxbio — SSIEM 2023
14 slides from Regenxbio's conference presentation, Aug 30, 2023
Slide 1: RGX-111, An Investigational Gene Therapy for Severe MPS I
RGX-111, An Investigational Gene Therapy for the Treatment of Severe Mucopolysaccharidosis Type I (MPS I) Interim Analysis of the First in Human Study and a Single IND Patient Raymond Y. Wang, MD Division of Metabolic Disorders, CHOC Children’s Hospital / Department of Pediatrics, University of Cali
Slide 2: MPS I is a Systemic Disease Representing a Wide Spectrum of Severity
MPS I is a Systemic Disease Representing a Wide Spectrum of Severity Severity of Disease Manifestations Correlates with Degree of alpha-l-iduronidase (IDUA) Deficiency Hurler (60%) Hurler-Scheie (23%) Scheie (13%) Symptom Onset 0.5 y 3.0 y 7.8 y Age of diagnosis 0.8 y 3.9 y 9.3 y 35% IQ < 85 Cogniti
Slide 3: RGX-111: MPS I Phase I/II Clinical Study Summary
RGX-111: MPS I Phase I/II Clinical Study Summary NCT03580083 on ClinicalTrials.gov Participants Cohorts (dose levels) Data Enrollment of 8 MPS I Genome copies/g brain mass participants with CNS Primary Endpoint is Safety involvement or severe MPS I RGX-111 Secondary & Exploratory (≥ 4 months of age)
Slide 4: RGX-111 Phase I/II Trial and Single Patient Investigator-Initiated IND
RGX-111 Phase I/II Trial and Single Patient Investigator-Initiated IND As of January 17, 2023, 8 participants were dosed in the Phase I/II trial and 1 in the single patient IND protocol Age at dosing from 4 months to 13 years in Phase I/II trial and 20 months in single patient IND IDUA Mutatio
Slide 5: RGX-111 Interim Safety Summary
RGX-111 Interim Safety Summary Phase I/II Trial and Single Patient Investigator-Initiated IND No SAEs are considered related to RGX-111 or the administration procedure 9 serious adverse events (SAE) reported in 4 participants SAE SAEs reported: Bronchiolitis, bronchopneumonia, sinusitis, 2 centr
Slide 6: Cerebrospinal Fluid (CSF) GAGs Heparan Sulfate
Cerebrospinal Fluid (CSF) GAGs Heparan Sulfate (HS) Individual Participants Concentration (ng/mL) Cohort 1 – Phase 1/2 Time on Study Cohort 2 – Phase 1/2 (Weeks) Single Patient IND Decreased CSF heparan sulfate in majority of participants through last time point available Measurable CSF IDUA enz
Slide 7: Neurodevelopmental Assessments
Neurodevelopmental Assessments Age and developmentally appropriate validated instruments for neurodevelopmental testing were used to evaluate all participants n=6* Bayley Scale of Infant and Toddler Wechsler Abbreviated Scale of Development, Third Edition (BSID-III) Intelligence (WASI-II) for chrono
Slide 8: Neurodevelopmental Function
Neurodevelopmental Function BSID-III Cohort 1 – Phase I/II Cohort 2 – Phase I/II Cognition Expressive Language Fine Motor Single Patient IND Age Equivalence (months) +/- 1S D +/- 2S D Age (months) All participants show continued developmental skill acquisition on all subtests At last assessment,
Slide 9: Neurodevelopmental Assessments and Function
Neurodevelopmental Assessments and Function BSID* Cognitive Subtest Age Equivalence (months) BSID cognitive function in 2 participants** demonstrates higher AEq than available natural history data Cohort 1 – Phase I/II; n = 1 Cohort 2 – Phase I/II; n = 3 Age Single Patient IND; n = 1 ** 1 participan
Slide 10: Neurodevelopmental Assessments and Adaptive Function for 13 Year Old Phase I/II Participant
Neurodevelopmental Assessments and Adaptive Function for 13 Year Old Phase I/II Participant WASI-II and VABS-III VABS-III Age Equivalent Scores (year : month) BL Week of Assessment Week 52 Week 78 WASI- II Composite Scores Age 13y 14y 2m 14y 8m 2m Week of BL Week 52 Week 78 Assessment 13y 2m 14y 2m
Slide 11: Systemic Effects: Plasma I0S6
Systemic Effects: Plasma I0S6 I0S6 is a non-reducing end (NRE) disaccharide of glycosaminoglycans shown to be elevated in plasma, urine and CSF of MPS I patients1,2,3,4,5 Plasma I0S6 concentration (ng/ml) Cohort 1 – Phase I/II Cohort 2 – Phase I/II Single Patient IND Time on Study Not on ERT / ERT n
Slide 12: Systemic Effects: Urine Total GAGs
Systemic Effects Urine Total GAGs Total GAGs, urine (g/mol CK) ERT naïve at dosing Post ERT Withdrawal ERT Single Patient IND Time on Study Majority of patients maintained low levels of total urine GAGs Phase I/II Trial data cut: January 17, 2023 Single Patient IND data cut: December 12, 2021 12
Slide 13: Summary of Interim Results
RGX-111 Phase I/II Trial and Single Patient IND Summary of Interim Results Safety: RGX-111 was well tolerated 8 participants were dosed in the Phase I/II trial and 1 in the single patient IND protocol RGX-111 has been well tolerated with no SAEs related to study drug or administration procedure
Slide 14: Acknowledgements
Acknowledgements The RGX-111-002 Investigators REGENXBIO Nidal Boulos Caroline Mulatya Can Ficicioglu, Children’s Hospital of Philadelphia Jenna Burke Laura Pisani Roberto Giugliani, HCPA, Porto Alegre, Brazil Yoonjin Cho Dawn Phillips Yair Anikster, Sheba Medical Center, Israel