Mar 26 2010
Argos Therapeutics today announced the presentation of data from the
Phase 2a trial of AGS-004, providing information on rebound viral
genetic diversity in HIV patients treated with the personalized
immunotherapy following antiretroviral therapy (ART) interruption. The
data were discussed in a poster session at the Keystone Symposia Global
Health Series HIV Vaccines meeting, held March 21-26, 2010 in Banff,
Canada. AGS-004 is a product of the Company’s Arcelis™ technology, and
it is a personalized, RNA-loaded, dendritic cell-based immunotherapy
that is perfectly matched to each patient’s unique HIV viral burden.
Argos recently reported interim data from the Phase 2a trial,
demonstrating viral load control in the absence of antiretroviral
therapy and robust immune responses to a diverse set of HIV antigens.
Argos plans to initiate a Phase 2b trial in the first half of 2010.
“Study of Rebound Virus Genetic Diversity in
Subjects Treated with Autologous DC-based (AGS-004) Immunotherapy After
ART Interruption”
AGS-004 utilizes autologous RNA encoding HIV antigens Gag, Vpr, Rev and
Nef (GVRN). Argos’ RNA technology is designed to amplify a complex
mixture of autologous mutated HIV quasispecies, specific to each
patient, from plasma collected prior to ART initiation. In the Phase 2a
trial, patients received four doses of AGS-004 during ART treatment,
followed by two doses after ART interruption. Samples of post-AGS-004
plasma were then collected during the ART interruption from subjects
with detectable viral load. Genetic evolution of the virus was analyzed
through sequencing at least 10 individual clones of each GVRN gene
following AGS-004 treatment, and comparing to those isolated from the
pre-treatment sample. As expected, in some subjects, the post-AGS-004
samples revealed a shift in viral diversity, indicating that the
remaining virus did mutate over the course of treatment.
Charles Nicolette, Ph.D., Chief Scientific Officer and Vice President of
Research and Development of Argos Therapeutics, said: “We believe that
one component of the method-of-action for AGS-004 is that it forces the
virus to mutate in response to immune pressure. The more the virus
mutates, the less able to replicate and weaker it becomes. Additionally,
the diversity of the mutations is generally much narrower following
AGS-004 treatment. We believe that this less robust residual virus is a
direct result of the broad immune response induced by AGS-004. These
observations may explain the low viral load levels reported for patients
enrolled in the Phase 2a trial of AGS-004. We are excited to generate
controlled data for AGS-004 in the Phase 2b trial, which we anticipate
will commence soon.”