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Seaport Therapeutics (SPTX): Phase 2b depression data in 1H27 to validate the novel approach
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Seaport Therapeutics (SPTX): Phase 2b depression data in 1H27 to validate the novel approach
Goldman Sachs Seaport Therapeutics (SPTX)
perform a sample size re-estimation (SSRE).
Separately, SPTX has dosed first participant in Ph1 driving simulation trial of GlyphAllo
(with data expected 2H26), designed to be a standard driving simulation study. These
studies are typically conducted with PM dosing and next day driving after a full night’s
sleep. For context, there is a full driving restriction for patients enrolled in the BOUY-1
trial in the US, and a shorter, six-hour driving restriction for patients enrolled in the EU.
Zurzuvae carries a black box warning due to its potential impact activities requiring
complex cognition, including driving. Per Zuzuvae’s labels, patients must not drive or
engage in potentially hazardous activities (such as operating machinery) for at least 12
hours after each dose. However, due to the therapeutic exposure levels of demonstrated
by GlyphAllo, which are comparable to those that occur naturally during the third
trimester of pregnancy and dropped to 15% of Cmax by eight hours post-dose following
administration, we see the potential for GlyphAllo to reduce or eliminate next-day
somnolence or drowsiness.
SPTX expects topline data from the Ph2b BUOY-1 trial in 1H27. Based on the results of
the Ph2b clinical trial, the company intends to consult with the FDA about the potential
to use this trial to support a registrational filing for MDD. While SPTX has not disclosed
guidance on the powering of BUOY-1, we note that a placebo-adjusted improvement of
0.3 on the primary endpoint of Hamilton Depression Rating Scale-17 (HAM-D-17) total
score has been typical of approved antidepressants.
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