6-K 1 tv520710_6k.htm FORM 6-K

 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

  

FORM 6-K

 

REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR

15d-16 UNDER THE SECURITIES EXCHANGE ACT OF 1934

 

For the month of May 2019

 

Alterity Therapeutics Limited

(Name of Registrant)

 

Level 3, 460 Bourke Street, Melbourne, VIC 3000, Australia

(Address of Principal Executive Office)

 

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

 

Form 20-F x                   Form 40-F ¨

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): __

 

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): __

 

Indicate by check mark whether by furnishing the information contained in this Form, the registrant is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.

 

Yes ¨                      No x 

 

If “Yes” is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b): 82- _____

 

This Form 6-K is being incorporated by reference into the Registrant’s Registration Statements on Form F-3 (File No. 333-220886) and Form S-8 (File No. 333-228671).

 

 

 

 

 

Alterity Therapeutics Limited

 

6-K Items

 

1.

Alterity presents clinical data at AAN

 

 

 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

  

  ALTERITY THERAPEUTICS LIMITED
    (Registrant)
     
     
  By: /s/ Geoffrey Kempler  
    Geoffrey Kempler,
    Executive Chairman

  

May 5, 2019

 

 

 

 

 

Initial data for Alterity Therapeutics Phase 1 clinical trial released at

American Academy of Neurology Annual Meeting

 

MELBOURNE, AUSTRALIA AND SAN FRANCISCO, USA – Monday 6th May, 2019. Alterity Therapeutics Limited (ASX: ATH, NASDAQ: ATHE) (“Alterity” or “the Company”) is today releasing interim clinical data of its Phase 1 clinical trial program for its investigative drug PBT434 at the American Academy of Neurology Annual Meeting in Philadelphia, USA.

 

The Platform Presentation titled: A First in Human Study of PBT434, a Novel Small Molecule Inhibitor of α-Synuclein Aggregation is being delivered by David Stamler, MD, Chief Medical Officer & Senior VP Clinical Development. The American Academy of Neurology Annual Meeting is one of the largest gatherings of clinicians and researchers focusing on neurology in the world.

 

The study is expected to complete mid-2019, however Alterity has been invited to present interim data from the initial four single dose cohorts and the initial three multiple dose cohorts. The data being released indicate that PBT434 was well tolerated with adverse event rates comparable to placebo and dose dependent systemic exposure following oral administration.

 

Importantly, the results indicate that PBT434 not only crosses the blood brain barrier in humans, confirming previous observations in animal studies, but that clinically tested doses achieve concentrations in the brain that exceed those associated with efficacy in animal models of disease.

 

No serious adverse events were reported and no subject discontinued dosing with PBT434 due to adverse events.

 

Dr David Stamler said: “The notable finding from this study is that PBT434 penetrates into the human brain and achieves concentrations that are potentially clinically relevant at doses that were well tolerated in healthy volunteers. We are very encouraged by these results which represent an important step in the advancement of PBT434. We look forward to providing final data at a medical conference later this year.”

 

PBT434 is an oral small molecule drug candidate with potential for treating synucleinopathies such as Parkinson’s Disease and Multiple System Atrophy, a rare and rapidly progressive neurological disorder that affects adults.

 

The Phase 1 Clinical Trial for PBT434 commenced in 2018 in Australia, recruiting healthy adult and older adult (≥ 65) volunteers with the primary goals of assessing the safety and tolerability of PBT434 after single and multiple oral dose administration. Secondary goals include evaluating pharmacokinetic measures that will allow Alterity understand how PBT434 is absorbed and metabolised by the body.

 

PBT434 is the first of a new generation of small molecules designed to block the accumulation and aggregation of α-synuclein. α-synuclein is of great interest because aggregated forms of the protein are considered a pathological hallmark of Parkinsonian conditions and are a recognised therapeutic target by neuroscientists and clinicians.

 

 

 

 

End Note

 

The Company changed its name on 8 April 2019 from Prana Biotechnology Limited to Alterity Therapeutics Limited, (ASX: ATH, NASDAQ:ATHE).

 

Investor enquiries IR@altertitytherapeutics.com

 

Contact:

 

Investor Relations

Rebecca Wilson

E: rwilson@buchanwe.com.au

Tp: +61 3 9866 4722

 

About Alterity Therapeutics Limited

 

Alterity’s lead candidate, PBT434, is the first of a new generation of small molecules designed to inhibit the aggregation of pathological proteins implicated in neurodegeneration. PBT434 has been shown to reduce abnormal accumulation of α-synuclein and tau proteins in animal models of disease by restoring normal iron balance in the brain. In this way, it has excellent potential to treat various forms of atypical Parkinsonism such as Multiple System Atrophy (MSA) and Progressive Supranuclear Palsy (PSP).

 

For further information please visit the Company’s web site at www.alteritytherapeutics.com

 

Forward Looking Statements

 

This press release contains "forward-looking statements" within the meaning of section 27A of the Securities Act of 1933 and section 21E of the Securities Exchange Act of 1934. The Company has tried to identify such forward-looking statements by use of such words as "expects," "intends," "hopes," "anticipates," "believes," "could," "may," "evidences" and "estimates," and other similar expressions, but these words are not the exclusive means of identifying such statements.

 

Important factors that could cause actual results to differ materially from those indicated by such forward-looking statements are described in the sections titled “Risk Factors” in the Company’s filings with the SEC, including its most recent Annual Report on Form 20-F as well as reports on Form 6-K, including, but not limited to the following: statements relating to the Company's drug development program, including, but not limited to the initiation, progress and outcomes of clinical trials of the Company's drug development program, including, but not limited to, PBT434, and any other statements that are not historical facts. Such statements involve risks and uncertainties, including, but not limited to, those risks and uncertainties relating to the difficulties or delays in financing, development, testing, regulatory approval, production and marketing of the Company’s drug components, including, but not limited to, PBT434, the ability of the Company to procure additional future sources of financing, unexpected adverse side effects or inadequate therapeutic efficacy of the Company's drug compounds, including, but not limited to, PBT434, that could slow or prevent products coming to market, the uncertainty of patent protection for the Company's intellectual property or trade secrets, including, but not limited to, the intellectual property relating to PBT434.

 

Any forward-looking statement made by us in this press release is based only on information currently available to us and speaks only as of the date on which it is made. We undertake no obligation to publicly updated any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.

 

 

 

A First in Human Study of PBT434, a Novel Small Molecule Inhibitor of α - Synuclein Aggregation David Stamler 1 , Margaret Bradbury 1 , Cynthia Wong 1 , Elliot Offman 2 1 Alterity Therapuetics , 2 Certara Strategic Consulting American Academy of Neurology – S4.001 Sunday, May 5, 2019 1

 

 

Disclosures • Authors are employees or paid consultants of Alterity Therapeutics 2

 

 

Therapeutic Strategy • Disrupting the underlying disease process of synucleinopathies • Parkinson’s disease • Atypical parkinsonism • Inhibit accumulation and aggregation of intracellular α - synuclein • Target “labile” iron which is increased in disease • Oral agent, crosses BBB • Initial disease target: Multiple system atrophy (MSA) • Orphan disease (prevalence of ; 5 per 100,000) • No therapy approved for treatment of MSA • Characterized by Parkinsonism, autonomic instability and/or cerebellar impairments • Pathological hallmark: accumulation of α - synuclein within oligodendroglia and neuron loss in multiple brain regions 3 Lee and Trojanowski , 2006 Halliday 2015, based on Brain 2015: 138; 2293 – 2309

 

 

Increased Brain Iron in Areas of Pathology in Synucleinopathy 4 Substantia nigra (T) Substantia nigra (pc) Cerebellum n = 24 n = 13 nmol iron/g of human brain n = 9 n = 7 * n = 3 n = 8 * 0 10000 20000 30000 Dexter et al . Brain.1991;114 Langkammer . PLoS ONE 11(9): e0162460. 2016 Quantitative Susceptibility Mapping (MRI) to non - invasively quantify brain iron in PD patient Cerebral cortex Caudate nucleus Putamen (M) Putamen (L) Globus pallidus (M) Globus pallidus (L) Substantia nigra (T) Cerebellum n = 11 n = 8 n = 8 n = 8 n = 9 n = 8 n = 12 n = 8 n = 11 n = 8 * nmol iron/g of human brain n = 9 n = 6 * 0 10000 20000 30000 n = 10 n = 8 * n = 10 n = 8 * Controls Patients Parkinson’s disease Multiple System Atrophy

 

 

Role of Iron in the pathogenesis of MSA 5 • Oligodendroglia – CNS cell population richest in iron • Compelling evidence that “labile iron” is central in the pathogenesis of MSA • Elevated iron in regions of α - synuclein aggregation and neurodegeneration • Labile iron drives continuous redox cycling and neuroinflammation J. Alz . Disease. 2018; 61: 1253. DOI 10.3233/JAD - 170601 Oxidative Stress Neuroinflammation Iron Dyshomeostasis

 

 

PBT434 Inhibits α - Synuclein Aggregation and Accumulation and Reduces Oxidative Stress by Restoring Intracellular Iron Balance 6 PBT434 blocks Aggregation of α - synuclein in vitro Strong homology in Iron Responsive Element of Ferritin and α - Synuclein Ligand Kd for Fe 3+ α - Synuclein 10 - 5 PBT434 10 - 10 Ferritin 10 - 22 Transferrin 10 - 23 Deferiprone 10 - 36 Stronger binding PBT434 inhibits Lipid peroxidation in vivo VEH PBT434 0 100 200 300 400 8 - I s o p r o s t a n e ( % U L ) * 0 1 10 20 0 5000 10000 15000 PBT434 ( ;M) F e r e l e a s e d ( C P M ) PBT434 Promotes Iron Efflux from M17 cells *** *** N N O R R R OH R PBT434 α SN+Fe+PBT434 α SN+Fe α SN 0 10 20 30 40 50 0 5 ;10 4 1 ;10 5 1.5 ;10 5 Time (Hr) R F U Finkelstein, et al. Acta Neuropath Comm. 2017;5(1):53 Friedlich , et al. Mol Psychiatry. 2007;12(3):222 - 223

 

 

PBT434 Reduces Alpha - synuclein and Lowers Glial Cell Inclusions Transgenic Mouse Model (PLP) - α - SYN of MSA 7 ↓ α - Synuclein Treatment: 30 mg/kg/day or Vehicle for 4 months Data presented are for animals at 16 mo age Vehicle PBT434 0.0 0.1 0.2 0.3 0.4 R e l a t i v e t o T o t a l P r o t e i n ** Oligomeric Vehicle PBT434 0.0 0.2 0.4 0.6 0.8 R e l a t i v e t o T o t a l P r o t e i n ** Aggregated Vehicle PBT434 0 1000 2000 3000 4000 N u m b e r o f G C I *** SNpc Vehicle PBT434 0 5000 10000 15000 N u m b e r o f G C I ** Pontine Nucleus ↓ Glial Cell Inclusions Finkelstein et al. AAN 2019 Poster no. 8 - 006, Session P5, Thursday May 9. Abstract 837.

 

 

Phase 1 Design • Randomized, double blind, placebo controlled • Population: Healthy adult and older adult (≥65) volunteers (older adult data pending) • Objective: Assess safety, tolerability and PK of PBT434 after single and multiple oral doses for 8 days • Pharmacokinetics: Plasma and CSF • Plasma sampled through 72 hours post - dosing • CSF sampled at steady state 1.5 and 11 hrs post dosing in two top multiple dose levels • Safety: Adverse events, clinical laboratory parameters, 12 - lead ECGs 8 Multiple Ascending Doses (8A:2P/cohort) Single Ascending Doses (6A:2P/cohort) 50 mg 600 mg 300 mg 100 mg 100 mg bid 200 mg bid 250 mg bid

 

 

Pharmacokinetic Results 9 Regimen AUCtau ( ng *h/ mL ) Cmax (ng/mL) Tmax ( hr ) Arithmetic mean (CV%) Median (Min - Max) 100 mg BID 2,561 (50.7) 961.3 (49.6) 1.25 (0.75 - 2) 200 mg BID 12,330 (46.4) 3,199 (39.2) 1.25 (0.5 - 2) 250 mg BID 13,000 (15.8) 3,329 (37.3) 1.13 (0.5 - 2) PK parameters after 8 days BID dosing Systemic Pharmacokinetics • PBT434 was rapidly and extensively absorbed after oral administration • PBT434 demonstrated dose dependent pharmacokinetics after single and multiple doses • Mean elimination half - life up to 9.3 hrs 0 4 8 12 16 20 24 1 10 100 1000 10000 Plasma PK Profile after Single Doses Hours post dose P B T 4 3 4 i n p l a s m a ( n g / m L ) 50 mg 100 mg 300 mg 600 mg

 

 

CSF Pharmacokinetics • Plasma concentrations of PBT434 in plasma strongly correlate with CSF levels in both humans and mouse • PBT434 at 200 to 250 mg bid achieve CSF levels greater than in mice dosed at 30 mg/kg/day – a dose level associated with robust efficacy in an MSA mouse model 10 Human 200 mg BID Human 250 mg BID Mouse 30 mg/kg 0 50 100 150 200 250 PBT434 in CSF 1.5-2 hrs post-dose P B T 4 3 4 i n C S F ( n g / m L ) 10 100 1000 10 100 1000 Mouse: Free Plasma vs. CSF PBT434 30 mg/kg CSF (measured, ng/mL) F r e e p l a s m a ( c a l c u l a t e d f r o m t o t a l , n g / m L ) r 2 =0.93 0 50 100 150 200 250 0 50 100 150 200 250 Human: Free plasma vs. CSF PBT434 200 and 250 mg BID CSF (measured, ng/mL) F r e e p l a s m a ( c a l c u l a t e d f r o m t o t a l , n g / m L ) r 2 =0.72

 

 

Adverse Event Summary Single Ascending Doses Placebo (N=8) 50 mg (N=6) 100 mg (N=6) 300 mg (N=6) 600 mg (N=6) Patients with ≥ 1 AE 3 (38%) 0 0 1 1 Patients with AEs leading to Withdrawal 0 0 0 0 0 Patients with Serious AEs 0 0 0 0 0 PBT434 was well tolerated with similar rates of AEs compared to placebo No serious AEs or AEs leading to withdrawal Multiple Ascending Doses Placebo (N=6) 100 mg BID (N=8) 200 mg BID (N=8) 250 mg BID (N=8) Patients with ≥ 1 AE 5 (83%) 3 (38%) 6 (75%) 4 (50%) Patients with AEs leading to Withdrawal 0 0 0 0 Patients with Serious AEs 0 0 0 0

 

 

Safety • All AEs with PBT434 were mild to moderate in severity • Most common AEs reported in PBT434 subjects was headache • No clinically significant findings observed in vital signs, clinical laboratory parameters or 12 - lead ECGs 12

 

 

Summary • PBT434 is an orally bioavailable, brain penetrant small molecule inhibitor of α - synuclein aggregation • Single and multiple dose administration of PBT434 was well tolerated with an AE profile comparable to placebo • PBT434 demonstrated dose dependent pharmacokinetics after single and multiple doses in healthy volunteers • At 200 to 250 mg BID, PBT434 achieved CSF concentrations exceeding those associated with robust efficacy in an animal model of MSA 13