Data Presented at ASH; Company to Host Investor Call on December 10

CAMBRIDGE, Mass. -- (Business Wire)
bluebird bio, Inc. (Nasdaq: BLUE) today announced data from eight
subjects treated with LentiGlobin BB305 drug product. In the first four
subjects, each of whom had at least three months of follow up, treatment
with LentiGlobin BB305 drug product resulted in sufficient hemoglobin
production to reduce or eliminate the need for transfusion support among
patients with beta-thalassemia major who would otherwise require chronic
blood transfusions. These data include the first five subjects treated
in bluebird bio’s ongoing Phase 1/2 Northstar (HGB-204) Study and the
first three subjects from its HGB-205 study. These studies include the
first subjects with the beta-0/beta-0 genotype of beta-thalassemia major
treated with LentiGlobin BB305 drug product and the first subject with
sickle cell disease treated with gene therapy. These data are being
presented today at the 56th Annual Meeting of the American Society of
Hematology (ASH) in San Francisco.
“Beta-thalassemia major is a devastating disease that affects 40,000
newborn children globally every year, and the existing treatment options
for these patients have significant side effects and limitations,” said
Alexis A. Thompson, M.D., M.P.H., professor of pediatrics at
Northwestern University Feinberg School of Medicine, director of the
Comprehensive Thalassemia Program at Ann & Robert H. Lurie Children’s
Hospital of Chicago and lead investigator of the Northstar Study, who
presented the data in an oral presentation. “Data from the Northstar
Study presented today further demonstrate the potential for a one-time
gene therapy treatment to transform the lives of patients with
beta-thalassemia major, including those with the most severe genotype of
beta-thalassemia major, beta-0/beta-0, also known as Cooley’s Anemia.”
LentiGlobin BB305 drug product aims to treat beta-thalassemia major and
severe sickle cell disease by inserting a fully functional human
beta-globin gene into the patient's own hematopoietic stem cells ex
vivo and then transplanting those modified cells into the patient
through infusion, also known as autologous stem cell transplantation.
“We are very encouraged to see that each of the first four
beta-thalassemia major subjects treated with LentiGlobin who had at
least three months of follow up is producing robust levels of beta-T87Q-globin
and is transfusion-free,” said David Davidson, M.D., chief medical
officer, bluebird bio. “We are on track to complete patient enrollment
for the Northstar and HGB-205 studies in 2015, and as the clinical data
continue to mature, we will work closely with medical experts, patient
communities and regulatory authorities to define the regulatory path
forward for LentiGlobin.”
Northstar Study Data
The Northstar Study is an ongoing, open-label, single-dose,
international, multicenter Phase 1/2 study designed to evaluate the
safety and efficacy of LentiGlobin BB305 drug product for the treatment
of subjects with beta-thalassemia major.As ofDecember 1,
2014, five subjects with beta-thalassemia major have undergone infusion
with LentiGlobin BB305 drug product in the Northstar Study. The first
two subjects treated in the Northstar Study are producing steadily
increasing amounts of beta-T87Q-globin and have been free
from the need for transfusions for the past five months and three
months, respectively. Three additional subjects have been infused, but
it is too early to draw any meaningful conclusions on clinical efficacy.
Patient
|
| 1102 |
| 1104 |
| 1106 |
| 1107 |
| 1108 |
Age/Sex
|
|
18/F
|
|
21/F
|
|
20/F
|
|
26/F
|
|
18/F
|
Country of birth
|
|
USA
|
|
Thailand
|
|
Pakistan
|
|
Australia
|
|
USA
|
Genotype
|
|
B0/BE
|
|
B0/BE
|
|
B0/B0
|
|
B0/B0
|
|
B0/B+
|
Transfusion requirements (mls/kg/year)
|
|
137
|
|
153
|
|
197
|
|
223
|
|
144
|
CD34+ VCN
|
|
1.0/1.1*
|
|
0.7/0.7*
|
|
1.5
|
|
1.0
|
|
0.9
|
CD34+ cell count (x106/kg)
|
|
6.5
|
|
5.4
|
|
13.5
|
|
15.0
|
|
7.9
|
Days to neutrophil engraftment
|
|
Day +17
|
|
Day +18
|
|
Day +29
|
|
Day +14
|
|
NA
|
HbAT87Q/total Hb (g/dL)
|
|
3.8/8.6
|
|
0.27/9.8
|
|
6.8/9.6
|
|
0.34/9.6
|
|
NA
|
Last study follow up (months)
|
|
6
|
|
1**
|
|
3
|
|
1
|
|
<1
|
*If more than one drug product was manufactured for a subject, the VCN
of each drug product lot is quantified and the cell count is combined.
**Data includes two months of follow-up on safety only.
HGB-205 Study Data
HGB-205 is an ongoing, open-label, single-center Phase 1/2 study
designed to evaluate the safety and efficacy of LentiGlobin BB305 drug
product in the treatment of subjects with beta-thalassemia major and
severe sickle cell disease. As ofDecember 1, 2014, two subjects
with beta-thalassemia major have undergone infusion with LentiGlobin
BB305 drug product. Both of these subjects achieved rapid transfusion
independence with near-normal hemoglobin levels, similar to what may be
expected from a successful allogeneic transplant, and have been free
from the need for transfusions for the past 12 months and nine months,
respectively. The third treated subject, the first individual with
sickle cell disease ever to be treated with gene therapy, has achieved
neutrophil engraftment, but it is too early post-transplant to draw any
meaningful conclusions on clinical efficacy.
|
| Beta Thalassemia Major |
| Severe Sickle Cell Disease |
Patient
|
| 1201 | 1202 |
| 1204 |
Enrollment age/Sex
|
|
18/F
|
16/M
|
|
13/M
|
Country of birth
|
|
Syria
|
France
|
|
France
|
Genotype
|
|
B0/BE
|
B0/BE
|
|
BS/BS
|
Transfusion requirements (mls/kg/year)
|
|
139
|
188
|
|
170
|
CD34+ VCN
|
|
1.5
|
2.1
|
|
1.2/1.0*
|
CD34+ cell count (x106/kg)
|
|
8.9
|
13.6
|
|
5.6
|
Days to neutrophil engraftment
|
|
Day +13
|
Day +15
|
|
Day +37
|
HbAT87Q/total Hb (g/dL)
|
|
7.7/11.0
|
9.6/13.4**
|
|
NA
|
Last study follow up (months)
|
|
12
|
9
|
|
1
|
*If more than one drug product was manufactured for a subject, the VCN
of each drug product lot is quantified and the cell count is combined.
**Hemoglobin levels represent data from the six-month follow up visit.
Nine-month visit hemoglobin data not yet available.
In both studies, treatment with LentiGlobin BB305 drug product has been
well tolerated to date, with no gene therapy-related Grade 3 or greater
adverse events observed. All integration site analyses that have been
performed to date show a polyclonal reconstitution without any evidence
of clonal dominance.
“Today’s data demonstrate the potential benefit of gene therapy
across beta-hemoglobinopathies as we begin gaining insights into its
therapeutic potential for patients with severe sickle cell disease,”
said Marina Cavazzana, M.D., Ph.D., professor of medicine at Paris
Descartes University and research director at the Centre for Clinical
Research in Biotherapy, Necker Hospital, and at the Institute of Genetic
Diseases, Imagine, Paris, France. “Sickle cell disease
affects millions of people around the world, significantly impacting
their quality of life. The only currently available curative treatment
for sickle cell disease is an allogeneic hematopoietic stem cell
transplant, which is not accessible to most patients due to lack of
suitable donors, so we are eager to explore LentiGlobin’s potential as a
one-time therapy.”
Investor Conference Call and Webcast Information
bluebird bio will host a conference call and webcast on Wednesday,
December 10, 2014 at 8:00 am EST to review the data presented at ASH.
The event will be webcast live and can be accessed under "Calendar of
Events" in the Investors and Media section of the company's website at www.bluebirdbio.com.
Alternatively, investors may listen to the call by dialing (844)
825-4408 from locations in the United States and (315) 625-3227 from
outside the United States.
About Beta-Thalassemia
Beta-thalassemia is an inherited blood disease that can cause severe
anemia. Patients with beta-thalassemia cannot make enough of the
beta-globin part of hemoglobin, the protein used by red blood cells to
carry oxygen throughout the body. Approximately 40,000 children are born
with a serious form of the disease every year, making it one of the most
common genetic diseases in the world. In its most severe form,
beta-thalassemia is fatal if not treated.
Treating beta-thalassemia includes frequent and lifelong blood
transfusions, which deliver red blood cells to the body to correct the
anemia. However, blood transfusions also cause excess iron to build up
in the body, which can damage organs and cause additional issues, such
as abdominal pain, weakness, fatigue, joint pain, endocrine dysfunction,
liver cirrhosis and heart failure. Patients who receive ongoing blood
transfusions must also receive treatment to remove the excess iron. The
only currently available curative treatment option for beta-thalassemia
is allogeneic hematopoietic stem cell transplant. However, these
transplants are only offered to pediatric patients with matched sibling
donors (occurring in less than 25 percent of all cases), due to the
significant risk of transplant-related morbidity and mortality.
About the Northstar (HGB-204) Study
Northstar is an ongoing, open-label, single-dose, international,
multicenter Phase1/2 study designed to evaluate the safety and efficacy
of LentiGlobin BB305 drug product in the treatment of subjects with
beta-thalassemia major. The study is designed to enroll up to 15
subjects who will be evaluated for safety and efficacy post-transplant.
For more information on the Northstar Study, please visit www.northstarstudy.com or
clinicaltrials.gov using identifier NCT01745120.
About the HGB-205 Study
HGB-205 is an ongoing, open-label Phase 1/2 study designed to evaluate
the safety and efficacy of LentiGlobin BB305 drug product in the
treatment of subjects with beta-thalassemia major and severe sickle cell
disease. The study is designed to enroll up to seven subjects who will
be followed to evaluate safety and transfusion requirements
post-transplant. Among patients with sickle cell disease only, efficacy
will also be measured based on the number of vaso-occlusive crises or
acute chest syndrome events. For more information on the HGB-205 study,
please visit clinicaltrials.gov using identifier NCT02151526.
About bluebird bio, Inc.
bluebird bio is a clinical-stage company committed to developing
potentially transformative gene therapies for severe genetic and orphan
diseases. bluebird bio has two clinical-stage programs in development.
The most advanced product candidate, Lenti-D, is in a Phase 2/3 study,
the Starbeam Study, for the treatment of childhood cerebral
adrenoleukodystrophy (CCALD), a rare, hereditary neurological disorder
affecting young boys. The next most advanced product candidate,
LentiGlobin, is currently in two Phase 1/2 studies for the treatment of
beta-thalassemia major, one in the United States, Australia and Thailand
(the Northstar Study) and one in France (HGB-205). The Phase 1/2 HGB-205
study also allows enrollment of patient(s) with sickle cell disease, and
bluebird bio has initiated a separate U.S. sickle cell disease trial
(HGB-206). bluebird bio also has an early-stage chimeric antigen
receptor-modified T cell (CAR-T) program for oncology in collaboration
with Celgene Corporation.
bluebird bio has operations in Cambridge, Massachusetts, Seattle,
Washington and Paris, France. For more information, please visit www.bluebirdbio.com.
Forward-Looking Statements
This release contains “forward-looking statements” within the meaning of
the Private Securities Litigation Reform Act of 1995, including
statements regarding the potential efficacy and safety of the Company’s
LentiGlobin product candidate, in particular statements concerning the
reduced or eliminated need for transfusion support in the four initial
subjects treated with LentiGlobin drug product, statements concerning
the Company’s future plans with respect to LentiGlobin and its other
product candidates and statements concerning anticipated enrollment
rates and clinical milestones in 2015. It should be noted that the data
for LentiGlobin announced from the Northstar and HGB-205 studies at the
ASH Annual Meeting are preliminary in nature and the Northstar and
HGB-205 studies are not completed. There is limited data concerning
long-term safety and efficacy following treatment with LentiGlobin drug
product. These data may not continue for these subjects or be repeated
or observed in ongoing or future studies involving our LentiGlobin
product candidate, including the HGB-205 Study, the Northstar Study or
the HGB-206 study in sickle cell disease. It is possible that subjects
for whom periodic transfusion support has been reduced or temporarily
eliminated may receive transfusion support in the future. Any
forward-looking statements are based on management’s current
expectations of future events and are subject to a number of risks and
uncertainties that could cause actual results to differ materially and
adversely from those set forth in or implied by such forward-looking
statements. These risks and uncertainties include, but are not limited
to, the risk that the preliminary results from our clinical trials will
not continue or be repeated in our ongoing clinical trials, the risk
that previously conducted studies involving similar product candidates
will not be repeated or observed in ongoing or future studies involving
current product candidates, the risk of cessation or delay of any of the
ongoing or planned clinical studies and/or our development of our
product candidates, the risk of a delay in the enrollment of patients in
the Company’s clinical studies, the risk that our collaboration with
Celgene will not continue or will not be successful, and the risk that
any one or more of our product candidates will not be successfully
developed and commercialized. For a discussion of other risks and
uncertainties, and other important factors, any of which could cause our
actual results to differ from those contained in the forward-looking
statements, see the section entitled “Risk Factors” in our most recent
quarterly report on Form 10-Q, as well as discussions of potential
risks, uncertainties, and other important factors in our subsequent
filings with the Securities and Exchange Commission. All information in
this press release is as of the date of the release, and bluebird bio
undertakes no duty to update this information unless required by law.
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Contacts:
Investor Relations
Pure Communications, Inc.
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Clawson, 949-370-8500
or
Media Contact
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Communications, Inc.
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Source: bluebird bio, Inc.
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