Exhibit 99.1
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Proteostasis Therapeutics Announces Positive Phase 2 Topline Results from Proprietary CFTR
Modulator Combinations in F508del Homozygous Cystic Fibrosis Patients
PTI Triple Combination which IncludesFirst-in-Class Amplifier Outperformed
PTI Double Combination of a Proprietary Corrector and Potentiator
Launching Two Registrational Studies in 2020 - the MORE Trial in the Common Genotype and the
CHOICES Trial in Rare Genotypes
Company to Host Conference Call and Webcast Today at 8:30 AM ET
BOSTON, Mass. – December 17, 2019 – Proteostasis Therapeutics, Inc. (NASDAQ:PTI), a clinical stage biopharmaceutical company dedicated to the discovery and development of groundbreaking therapies to treat cystic fibrosis (CF), today announced positive topline results from the Company’s global, multicenter, randomized, placebo-controlled,28-day, Phase 2 study evaluating its proprietary cystic fibrosis transmembrane conductance regulator (CFTR) modulator combinations in F508del homozygous and heterozygous CF subjects 18 years of age and older.
The trial is designed to assess the efficacy, safety and tolerability of PTI’s once-daily proprietary combinations, 300 mg of dirocaftor(PTI-808) and 600 mg of posenacaftor(PTI-801), with or without 10 mg of nesolicaftor(PTI-428), or placebo, over a four week treatment period. A total of 28 F508del homozygous and 40 F508del heterozygous subjects were enrolled into the doublet, triplet or placebo arms. The compounds were generally well tolerated and the majority of reported adverse events were mild to moderate in severity. Most subjects enrolled in the Phase 2 study carried a high disease burden, with over 80 percent of subjects trying and failing to enroll into trials of currently approved modulators due to ineligibility.
Homozygous subjects receiving the triple combination experienced a mean absolute improvement in ppFEV1 of 8 percentage points over pooled placebo at day 28 (p£ 0.01, 95% CI 3, 12; n=11). Improvements in lung function were the highest in high disease burden subgroups, predefined as subjects with ppFEV1 <70 at baseline (+10 ppFEV1, n=9), subjects with at least 2 pulmonary exacerbations within 12 months prior to study (+12 ppFEV1, n=5) and poor responders to prior CFTR modulators (+12 ppFEV1, n=7). Sweat chloride concentration in homozygous subjects receiving dirocaftor, posenacaftor and nesolicaftor demonstrated a mean improvement of-29 mmol/L at day 28 (p < 0.0005, 95% CI-42,-16; n=11) compared to pooled placebo.
In the homozygous population, the magnitude of the improvements in the ppFEV1 and sweat chloride concentration at day 28 with the dirocaftor, posenacaftor and nesolicaftor were higher than those observed in subjects receiving the double combination of dirocaftor and posenacaftor. These observations highlight the contribution of nesolicaftor to the overall efficacy of the triple combination.
In PTI’s first clinical study with F508del heterozygous population, 40 subjects with at least 26 different genotypes were enrolled. As expected, given the mechanism of action of CFTR modulators, a broad range of ppFEV1 and sweat chloride responses were observed in these subjects. For those on active treatment, ppFEV1 responses ranged from-13 to +20 and sweat chloride concentration responses ranged from +12 mmol/L to-79 mmol/L. Changes in sweat chloride concentration were statistically significant (p<0.01).