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Repligen to Start Phase II Study of CTLA4-Ig

NEEDHAM, Mass.- November 1, 2000· by TNN Medical Reporter Virginia Baskerville

Repligen Corporation has received approval from the Food and Drug Administration to start a phase II clinical trial to evaluate the safety and efficacy of CTLA4-Ig in patients receiving a stem cells transplant for leukemia or other malignancies. The primary objective of the study is to determine if CTLA4-Ig, in combination with T-cell depletion, can reduce the incidence or severity of graft-versus-host disease (GVHD) in patients receiving a stem cell transplant from a genetically mismatched donor. The trial is expected begin at the bone marrow transplantation unit of the Comprehensive Cancer Center at the University of Alabama, Birmingham. "Initial clinical studies indicate that CTLA4-Ig may prevent or reduce the development of GVHD in this patient population," said Repligen president Walter C. Herlihy, PhD. "Expansion of the donor pool to 'mismatched' family members would substantially reduce the cost of a stem cell transplant and eliminate treatment delays inherent in the search for a 'matched donor.'" CTLA4 is a T-cell regulatory protein that is thought to have potential for use as an immunosuppressive drug and, possibly, the ability to maintain suppression after the drug is withdrawn. "CTLA4-Ig has been shown by numerous research groups to have activity in animal models of solid organ transplantation (heart and kidney), bone marrow transplantation, and autoimmune diseases such as lupus and multiple sclerosis," Repligen said. In May, Repligen announced that it had acquired rights to a U.S. patent application "broadly claiming the use of CTLA4-Ig in immune-based diseases and organ transplantation." For Your Information: See Repligen's website at www.repligen.com.

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