Assembly Biosciences, Inc. · NASDAQ:ASMB
Assembly Biosciences — Technical Presentation (October 2025)
15 slides from Assembly Biosciences's technical presentation, October 2025
Slide 1: Safety, Pharmacokinetics and Antiviral Activity of ABI-5366: Phase 1b Interim Analysis
Safety, Pharmacokinetics and Antiviral Activity of ABI-5366, a Novel, Oral, Long-Acting HSV Helicase-Primase Inhibitor in Subjects with Recurrent Genital Herpes: Interim Analysis from a Phase 1b Study Edward J. Gane1, Cory Sellwood2, Andrew Edwards3, Wayne Hayter4, Tess Tonkin5, Karen Kaluhin6, Deon
Slide 2: Disclosures
Disclosures • Mark Bloch reports support from GSK, ViiV Healthcare and Gilead Sciences for medical advisory boards, lectures and travel to scientific meetings. In addition, consulting for Assembly Biosciences who sponsored attendance at IUSTI 2
Slide 3: Introduction
Introduction • Approximately 520 million people aged 15-49 years worldwide are infected with herpes simplex virus type 2 (HSV-2), the primary cause of genital herpes 1,2 • Nucleoside analogue therapy requires daily administration and is suboptimal for suppression of viral transmission and disease re
Slide 4: Methods
Methods Study Design • ABI-5366-101 is a randomized, observer-blinded, placebo-controlled, Phase 1b viral shedding study • Up to 4 sequential cohorts to be enrolled evaluating multiple-dose regimens of 5366 or PBO – Each cohort to enroll 25 participants, (20 5366, 5 PBO); 29 Days of treatment, with
Slide 5: Baseline Demographic and Disease Characteristics
Results Baseline Demographic and Disease Characteristics ABI-5366 ABI-5366 Placebo QW 150/30 mg QW 350 mg QW Characteristics (n=10) (n=20) (n=20) Age, years; mean (SD) 43.1 (6.9) 39.3 (8.8) 41.7 (10.0) Sex at birth, n (%) Male 5 (50.0) 10 (50.0) 13 (65.0) Female 5 (50.0) 10 (50.0) 7 (35.0) White Rac
Slide 6: Treatment-Emergent Adverse Events and Lab Abnormalities
Results Treatment-Emergent Adverse Events and Lab Abnormalities ABI-5366 ABI-5366 150/30 mg QW/PBO QW 350 mg QW/PBO QW (n=25) (n=25) Participants with any TEAE, n (%) 23 (92.0) 22 (88.0) Subjects with any TEAE by grade, n (%) Grade 1 21 (84.0) 19 (76.0) Grade 2 7 (28.0) 10 (40.0) Grade 3 0 1 (4.0) G
Slide 7: Mean Plasma Pharmacokinetic Profile and Parameters
Results Mean Plasma Pharmacokinetic Profile and Parameters 150/30 mg QW 350 mg QW PK Parameters ABI-5366 ABI-5366 7000 After Last Dose 150/30 mg QW 350 mg QW (Day 29) (n=20) (n=20) On Treatment Off Treatment Tmax, hours, median 4.0 3.0 Mean ABI-5366 Concentration (ng/mL) 6000 t1/2, hours 501.1 (17.5
Slide 8: Viral Shedding and Genital Lesions
Results Viral Shedding and Genital Lesions ABI-5366 ABI-5366 Placebo QW 150/30 mg QW 350 mg QW Outcome Measured (n=10) (n=20) (n=20) HSV-2 Shedding Rate,a % 14.6 14.5 0.9 High Viral Load Shedding Rate,b % 11.4 9.4 0.2 Genital Lesion Rate,c % 19.7 11.8 1.3 Duration of Viral Shedding; mean (SD) days 5
Slide 9: Reductions in HSV-2 Shedding and Viral Load in HSV-2 Positive Swabs
Results Reductions in HSV-2 Shedding and Viral Load in HSV-2 Positive Swabs 1.9 log decline 20 9 95% CI (-2.7, -1.1) P<0.012 p<0.011 8 Log10 Copies of HSV DNA in Positive Swab Samples 14.6 14.5 15 Percent Shedding 7 6 10 5 5 4 3 0.9 0 2 Placebo 150/30 mg 350 mg 1Poisson regression analysis PBO 150/3
Slide 10: Conclusions
Conclusions • Treatment regimens were safe and well tolerated when administered orally as 150/30 mg/PBO QW and 350 mg/PBO QW for 29 days • The observed PK profile continues to support once-weekly dosing and the potential for once-monthly oral dosing regimens • Highly potent antiviral activity was ob
Slide 11: Acknowledgments
Acknowledgments • We express our gratitude to all the participants, investigators, and site staff who participated in the study – Study Investigators Edward Gane (New Zealand Clinical Research, Auckland, New Zealand) Cory Sellwood (New Zealand Clinical Research, Christchurch, New Zealand) And
Slide 12: Back-up Slides
O assemblybio Back-up Slides
Slide 13: Figure 1. The HSV Helicase-Primase Enzyme Complex
Figure 1. The HSV Helicase-Primase Enzyme Complex Created with Biorender.com HSV, herpes simplex virus (HSV) 13
Slide 14: Treatment-Emergent Adverse Events, ≥5% in Either Cohort
Results Treatment-Emergent Adverse Events, ≥5% in Either Cohort ABI-5366 ABI-5366 150/30 mg QW/PBO QW 350 mg QW/PBO QW (n=25) (n=25) Subjects with any TEAE, n (%) 23 (92.0%) 22 (88.0%) Upper Respiratory Tract Infection 9 (36.0%) 11 (44.0%) Headache 4 (16.0%) 3 (12.0%) Back Pain 1 (4.0%) 2 (8.0%) Dia
Slide 15: Laboratory Abnormalities, ≥5% in Either Cohort
Results Laboratory Abnormalities, ≥5% in Either Cohort ABI-5366 ABI-5366 Laboratory Abnormalities 150/30 mg QW/PBO QW 350 mg QW/PBO QW (n=25) (n=25) Number of Participants with postbaseline abnormalities 18 (72.0%) 18 (72.0%) Grade 1 14 (56.0%) 15 (60.0%) Grade 2 6 (24.0%) 5 (20.0%) Grade 3 1 (4.0%)
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