Atea Pharma (AVIR) Gains on Upbeat Initial Data From HCV Study

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Atea Pharmaceuticals, Inc. AVIR, a clinical-stage company, reported positive initial data from the first 52 patients in the lead-in cohort of the mid-stage study evaluating its bemnifosbuvir and ruzasvir (RZR) combination therapy for the treatment of Hepatitis C Virus (HCV). Bemnifosbuvir is AVIR’s nucleotide polymerase inhibitor, while RZR is an oral NS5A inhibitor.

The lead-in cohort of the phase II study enrolled 60 non-cirrhotic patients previously untreated with direct-acting antivirals, across all genotypes. These patients were administered 550 mg of bemnifosbuvir in combination with 180 mg of RZR once daily for eight weeks. The preliminary data readout is from 52 of the 60 lead-in patients after four weeks of treatment.

Sustained Virologic Response at Week 4 (SVR4) is the decision endpoint of the mid-stage study, the purpose of which is to substantially shorten the anticipated timeline for the completion of the study. The continuation of the study is contingent upon the fulfillment of this decision endpoint.

Initial results for the first 52 patients observed an SVR4 rate of 98%, which exceeded Atea Pharma’s efficacy criterion of >90% for continuing the study. The data included one patient with poor adherence who did not achieve SVR4.

The combination demonstrated a favorable safety profile and was overall well tolerated. Adverse events in the study were mostly mild in severity with no treatment discontinuations.

Based on these findings, Atea Pharma is gearing up to complete enrolling patients in the phase II study. The company anticipates enrolling 220 additional patients across all genotypes in the phase II study, which is expected to be completed by mid-2024.

The phase II study is currently evaluating the safety and efficacy of eight weeks of treatment with the bemnifosbuvir/RZR combo therapy in treatment-naïve HCV-infected patients, either without cirrhosis and/or with compensated cirrhosis. The primary endpoint of the study is the Sustained Virologic Response at Week 12 (SVR12).

Management states that it has been observed in clinical studies of other direct-acting antiviral therapy combinations that the SVR4 result is highly correlated with SVR12.

Top-line results from the mid-stage study of the bemnifosbuvir/RZR combo for HCV are expected in the third quarter of 2024.

Atea Pharma’s stock gained 11.3% in the last trading session as the investors cheered the encouraging update from the phase II HCV study. Over the past year, shares of AVIR have plunged 28.1% compared with the industry’s 11.4% decline.