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Atlas/Gene therapy/Otarmeni/Efficacy evidence

Otarmeni: animal efficacy model or human cells?

lunsotogene parvec · OTOF (AAV, intracochlear)
Efficacy evidence
Otof-Q828X homozygous deafness mouse: dose-dependent ABR threshold recovery with otoferlin expression in IHCs
“Nonclinical pharmacology studies were conducted in Otof-Q828X hom (homozygous) mice, a model of OTOF-related deafness that recapitulates the human phenotype with profound hearing loss and absent auditory brainstem responses (ABRs).”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Why that model
Otof-Q828X mouse recapitulates human OTOF deafness (profound hearing loss, absent ABRs)
“Nonclinical pharmacology studies were conducted in Otof-Q828X hom (homozygous) mice, a model of OTOF-related deafness that recapitulates the human phenotype with profound hearing loss and absent auditory brainstem responses (ABRs).”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Reviewer's view of the efficacy data
Supportive: sustained otoferlin expression and durable ABR improvement for at least 30 weeks support long-term benefit
“This study demonstrated that a single IC administration of DB-OTO resulted in sustained otoferlin protein expression in IHCs and durable ABR threshold improvements that were maintained for at least 30 weeks post-administration.”
✓ VerifiedFDA pharmacology/toxicology review, p. 14Source ↗

Same question, other gene therapies

Adstiladrin

nadofaragene firadenovec · IFN-alpha2b (adenovirus, intravesical)
Orthotopic mouse model of human bladder cancer: anti-tumor activity after intravesical rAd-IFN/Syn3

Beqvez

fidanacogene elaparvovec · Factor IX
Hemophilia B mice given BEQVEZ: liver hFIX-R338L expression and hemostatic FIX activity

Casgevy

exagamglogene autotemcel · BCL11A enhancer (CRISPR-Cas9, ex vivo HSC)
Edited human CD34+ cells engrafted in NSG mice retained >90% on-target editing at 16 weeks

Elevidys

delandistrogene moxeparvovec · Micro-dystrophin
Rodent DMD models: mdx mice and Dmdmdx rats (force, muscle pathology, micro-dystrophin expression)

Fayuvi

rebisufligene etisparvovec · SGSH (AAV9)
MPS IIIA mouse pharmacology study (survival, brain GAG, Morris water maze, GFAP, neuropathology); SGSH knock-out cells in vitro

Genglycos

pariglasgene brecaparvovec · G6PC (AAV8)
G6PC-deficient GSDIa mouse model: dose-dependent increases in hepatic G6Pase activity and fasting glucose

Glybera

alipogene tiparvovec · LPL (AAV1)
LPL-/- mice and LPL-deficient cats: triglyceride-lowering pharmacodynamic activity

Hemgenix

etranacogene dezaparvovec · Factor IX
Hemophilia B mouse (B6.129P2-F9tm1Dws) with predecessor vector AMT-060: dose-dependent liver transduction, hFIX protein and activity

Imlygic

talimogene laherparepvec · GM-CSF (oncolytic HSV-1)
Syngeneic mouse melanoma (B16F10-muNectin1) with clinical virus: significant anti-tumour effect after one or three intratumoral doses

Itvisma

onasemnogene abeparvovec (intrathecal) · SMN1 (AAV9, intrathecal)
SMA piglet model, IT research-grade vector (scAAV9.CBA.SMN): prevented hindlimb weakness and slowed disease progression

Kebilidi

eladocagene exuparvovec · AADC
In vitro studies in human cells (AADC expression and biological activity) only

Kresladi

marnetegragene autotemcel · ITGB2 (LVV, ex vivo HSC)
CD18HYP and CD18KO LAD-I mice given vector-transduced murine Lin- cells: engraftment and enhanced neutrophil extravasation to inflamed sites

Lenmeldy

atidarsagene autotemcel · ARSA (LVV, ex vivo HSC)
As2-/- MLD mice given ARSA-LV murine HSPCs: improved motor conduction, rotarod coordination and neuropathology vs GFP-LV controls

Luxturna

voretigene neparvovec · RPE65
RPE65-mutant dogs: improved pupillary responses, ERGs and visual behavior, reduced nystagmus

Lyfgenia

lovotibeglogene autotemcel · HBB T87Q (LVV, ex vivo HSC)
Transgenic SCD mice given marrow cells transduced with a related βA-T87Q vector: βA-T87Q expression and correction of sickling

Papzimeos

zopapogene imadenovec · HPV6/11 antigens (gorilla adenovirus)
HPV antigen-specific T-cell responses in immunized healthy wild-type C57BL/6 mice; no disease model

Roctavian

valoctocogene roxaparvovec · Factor VIII
Rag2-/- x FVIII-/- haemophilia A mice: blood loss and bleeding time almost corrected to wild-type levels

Skysona

elivaldogene autotemcel · ABCD1 (LVV, ex vivo HSC)
Healthy-donor Lenti-D HSCs in myeloablated immunodeficient mice: bone marrow and brain engraftment with ABCD1 expression and ALDP production

Strimvelis

autologous CD34+ cells transduced with ADA (no INN) · ADA (gamma-retroviral, ex vivo HSC)
SCID-hu xenograft mice: transduced CD34+ cells engrafted and produced vector-marked, transgene-expressing T and B cells

Tudriqev

vusolimogene oderparepvec · GALV-GP + GM-CSF (oncolytic HSV-1)
Human tumor cell lines in vitro; murine surrogate mRP1 in syngeneic lymphoma, colorectal and melanoma tumor-bearing mice

Vyjuvek

beremagene geperpavec · COL7A1 (HSV-1, topical)
Hypomorphic DEB mouse model and wild-type BALB/c mice: dermal transduction, COL7 expression, anchoring fibrils

Waskyra

etuvetidigene autotemcel · WAS (LVV, ex vivo HSC)
WAS-deficient mice transplanted with WAS LVV-transduced murine Lin- BM cells: increased B cells, platelets, granulocytes; improved T, B and DC function

Zevaskyn

prademagene zamikeracel · COL7A1 (RV-modified keratinocyte sheets)
Representative RVV-transduced keratinocyte grafts in mouse excisional wounds: cells stayed localized, Col7 expression up to 12 months

Zolgensma

onasemnogene abeparvovec · SMN1
SMNdelta7 SMA mouse model: single IV clinical vector lots gave dose-dependent survival improvement

Zynteglo

betibeglogene autotemcel · HBB T87Q (LVV, ex vivo HSC)
β-thalassaemic mouse model given BB305 LVV-transduced mouse BMCs: correction of the β-thalassaemic phenotype

Summary across all 26 gene therapies →