• Ifenprodil was shown to be much more effective at reducing cough in patients than initially reported
  • Additional review showed significant improvement in mean objective 24-hour and waking cough counts after 4 and 12 weeks
  • “To see effects of this magnitude in an IPF population, where other drugs have failed to demonstrate a benefit, is notable”
  • Ifenprodil is an N-methyl-D-aspartate (NMDA) receptor antagonist specifically targeting the NMDA-type subunit 2B (GluN2B)
  • Algernon Pharmaceuticals Inc. (AGN) is up 5.96 percent trading at C$3.20 per share as of 11:57 am EDT

Algernon Pharmaceuticals (AGN) has announced additional results from its Phase 2a Study of NP-120 (Ifenprodil) for idiopathic pulmonary fibrosis (IPF) and chronic cough.

After further review of the topline data, Ifenprodil was “shown to be much more effective at reducing cough in patients than initially reported.”

Additional review demonstrated a significant improvement in mean objective 24-hour and waking cough counts after 4 and 12 weeks.

The data came as the result of a statistical review by the company’s lead scientific and medical advisor, Dr. Jacky Smith, a global expert on cough. The analysis showed that:

  • The geometric mean 24-hour cough counts were reduced by 32.0 per cent at 4 weeks (p = 0.023) and 39.5 per cent at 12 weeks (p = 0.001) compared to baseline
  • The geometric mean awake cough counts were reduced by 30.2 per cent at 4 weeks (p = 0.038) and 37.4 per cent at 12 weeks (p = 0.002) compared to baseline
  • Analysis of geometric means is preferred to arithmetic means when raw data is not normally distributed, and is the standard method employed in trials measuring objective cough counts, where data are heavily skewed.

Dr. Jacky Smith, Professor of Respiratory Medicine at the University of Manchester and an Honorary Consultant at Manchester University NHS Foundation Trust, commented,

“This additional analysis confirms my initial positive impression of the study. The NMDA receptor has always been an interesting target for cough, but other agents have been poorly tolerated. To see effects of this magnitude in an IPF population, where other drugs have failed to demonstrate a benefit, is notable, and I look forward to seeing the Company’s full data set next month.”

“Ifenprodil’s potential as a potent cough treatment just increased,” said Christopher J. Moreau CEO of Algernon. “We have to remember that cough in IPF patients has been historically even more difficult to treat than stand-alone chronic cough. It is quite possible that Ifenprodil may show an even greater efficacy if tested directly in patients that only have chronic cough in the absence of IPF.”

Ifenprodil is an N-methyl-D-aspartate (NMDA) receptor antagonist specifically targeting the NMDA-type subunit 2B (GluN2B), which prevents glutamate signalling. Ifenprodil represents a novel first-in-class treatment for both IPF and chronic cough.

Algernon Pharmaceuticals Inc. is a drug re-purposing company that investigates safe, already approved drugs for new disease applications, moving them efficiently and safely into new human trials, developing new formulations and seeking new regulatory approvals in global markets.

Algernon specifically investigates compounds that have never been approved in the U.S. or Europe to avoid off-label prescription writing.

Algernon Pharmaceuticals Inc. (AGN) is up 5.96 percent trading at C$3.20 per share as of 11:57 am EDT.


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