BI-204

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Product description
BI-204 is a human antibody which targets the oxidised form of a low-density lipoprotein (LDL), called apoB100. BI-204 is being developed as a treatment for atherosclerosis, aimed at reducing the occurrence of heart attacks in high-risk patients. These are primarily patients with acute coronary artery disease, particularly those who have already suffered a heart attack.

Product rationale
Oxidised LDL plays a major role in the development of atherosclerotic plaques. The molecule can lead to harmful inflammatory processes occurring within the blood vessel wall. Through targeting oxidised LDL, BI-204 can prevent this inflammation.

Based on preclinical studies, BI-204 is expected to not only prevent the growth of atherosclerotic plaques, but also to reduce the size of existing plaques and prevent the break down of unstable plaques.

Clinical status
A Phase I study in 80 healthy volunteers with elevated levels of LDL has been completed in Denmark. The study met its primary endpoint demonstrating that BI-204 is safe and well tolerated. The trial was a double blind, placebo-controlled, dose-escalation study. Single and multiple doses of BI-204 have been administered to patients either intravenously or subcutaneously.

Preclinical studies showed that administering BI-204 could substantially reduce the formation of atherosclerotic plaques by over 50%. The drug also reduced the size of plaques already present by 50% over four weeks.

Development and commercialisation strategy
BioInvent has entered into a strategic collaboration with Genentech, Inc. to co-develop and commercialise BI-204. Under the terms of the agreement, the two companies are jointly responsible for clinical development. Genentech has licensed the commercialisation rights for North America. BioInvent has retained the rights for the rest of the world.

Genentech has made an upfront payment of US $15 million and BioInvent is also entitled to further milestone payments of up to US $175 million as well as royalties on sales in North America.

BioInvent International • SE-223 70 Lund, Sweden • Visiting: Sölvegatan 41, Lund, Sweden • Tel: +46 (0)46-286 85 50 • E-mail: info@bioinvent.com