BTG Reports Positive Results from First Study Investigating BGC20-0166 in Obstructive Sleep Apnoea Patients
Novel Combination Therapy Shown to be Well-Tolerated and to Reduce the Apnoea-Hypopnoea Index in OSA Patients
In this initial proof of concept study, 39 subjects diagnosed with OSA received placebo, a single agent or one of two doses of BGC20-0166 daily for a period of 28 days. Each subject's apnoea-hypopnoea index (AHI) was measured in overnight sleep laboratory polysomnograph studies on days 14 and 28. The primary endpoint was a reduction in the AHI at day 28. The treatment group receiving the high-dose combination demonstrated a statistically significant reduction in AHI compared to subjects receiving placebo at both day 14 and 28. AHI was reduced by a mean of 40% in this treatment group, with individual responses ranging between 10% and 85%.
Three of ten subjects in the high-dose group were considered complete responders, with a reduction in AHI of 50% or more and an AHI below 10 at day 28. In addition to the observed overall reduction of AHI, subjects in the high-dose treatment group showed reduced AHI in both REM and non-REM sleep stages and independent of sleep position. Subjects in the high-dose treatment group also showed a trend towards improved oxygen saturation levels relative to placebo, a measure which is directly correlated with improved sleep-related breathing. These improvements in clinically accepted measures of obstructive sleep apnoea severity were not associated with a change in sleep architecture that has been reported for other candidate pharmacotherapies previously investigated for the treatment of sleep apnoea.
BGC20-0166 was shown to be well-tolerated with no significant difference in reported side-effects between active and placebo treatment groups. BTG is continuing with both non-clinical studies and the development of a proprietary product formulation with its partner Collegium Pharmaceutical in preparation for US IND submission.
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