Sobi Partners in Groundbreaking Sepsis Research with Gamifant

Sobi Initiates Innovative Research Collaboration on Gamifant®

Sobi® (STO: SOBI) has announced an exciting research collaboration aimed at advancing the treatment of sepsis through a Phase 2a clinical trial of Gamifant® (emapalumab). This new endeavor was introduced at the International Symposium on Intensive Care and Emergency Medicine (ISICEM) Congress by Professor Giamarellos-Bourboulis from the Hellenic Institute for the Study of Sepsis. The objective behind this collaboration is to explore targeted therapies for severe and complex health conditions. Sepsis is one of the leading causes of mortality worldwide, making such efforts critical in today's medical landscape.

Understanding Interferon-Gamma Driven Sepsis (IDS)

The study focuses on a newly identified endotype, Interferon-Gamma Driven Sepsis (IDS), which is estimated to affect around 20% of sepsis patients. This specific subgroup is characterized by notable levels of the chemokine CXCL9 and detectable interferon-gamma (IFN?). What makes the EMBRACE trial particularly important is its precision immunotherapy approach, aimed at delivering targeted treatment in a patient group that currently has limited options.

Key Highlights of the EMBRACE Trial

The EMBRACE Phase 2a trial is designed to investigate how Gamifant® (emapalumab) can potentially improve clinical outcomes for sepsis patients exhibiting the IDS endotype. Notably, patients who show symptoms of immunoparalysis, characterized by low human leukocyte antigen DR (HLA-DR) expression on monocytes, will not be included in this trial. The research team will assess the inclusion of this subgroup in future studies based on the results gathered from EMBRACE.

Advancing Immunotherapy for Sepsis

Prof. Evangelos Giamarellos-Bourboulis, principal investigator of the EMBRACE study, emphasized the study's goal to adopt a precision immunotherapy method focused on sepsis driven by the IDS endotype. This approach brings hope of offering new therapeutic avenues for patients who have limited treatment options at present.

“We are enthusiastic about collaborating on the research of Gamifant® (emapalumab) for this new endotype of sepsis,” states Lydia Abad-Franch, MD, Head of Research & Development at Sobi. “Our aim is to move science forward, particularly in conditions with significant unmet medical needs where excessive production of interferon gamma fuels hyperinflammation.”

Design and Anticipated Results from EMBRACE

The EMBRACE study, which has received approval to begin in March 2025, will take place at several sites across Greece. Initial patient screening has begun to identify those eligible for participation. The trial involves three treatment arms, including low and high doses of Gamifant® in conjunction with standard care and a placebo group receiving standard care. The primary endpoint focuses on achieving a decrease in the Sequential Organ Failure Assessment (SOFA) score, while secondary endpoints will examine 28-day mortality rates, safety, and changes in specific inflammatory biomarkers.

About Gamifant® (emapalumab)

Gamifant® (emapalumab) is a monoclonal antibody that targets and neutralizes IFN?, playing a crucial role in managing severe inflammatory responses. In the United States, it is indicated for treating patients with primary hemophagocytic lymphohistiocytosis (HLH), a serious condition that can manifest in infancy and has a high mortality rate without appropriate treatment. The FDA approved Gamifant based on results from phase 2/3 trials, showcasing its importance in treating severe inflammatory conditions.

The Role of Sobi in Transformative Medicine

Sobi is an international biopharmaceutical company dedicated to improving the lives of individuals suffering from rare diseases. With a focused promise of providing access to innovative treatments in haematology, immunology, and specialty care, Sobi currently operates across multiple continents. In recent years, the company has shown significant financial growth and continues to be listed on Nasdaq Stockholm, underlining its importance in the global pharmaceutical landscape.

Frequently Asked Questions

What is the purpose of the EMBRACE trial?

The EMBRACE trial aims to evaluate the effectiveness of Gamifant® (emapalumab) in treating patients with interferon-gamma driven sepsis, offering new therapeutic possibilities.

Who are the principal investigators of the EMBRACE study?

Professor Evangelos Giamarellos-Bourboulis is the principal investigator and sponsor of the EMBRACE study.

What sets IDS apart from other types of sepsis?

IDS is characterized by high levels of CXCL9 and detectable IFN?, which significantly contributes to poor clinical outcomes and tends to affect about 20% of sepsis patients.

How many patients will be enrolled in the EMBRACE trial?

The EMBRACE trial plans to enroll 75 patients to assess the treatment's impact on sepsis driven by IDS.

What are the expected outcomes of the trial?

The primary goal is to achieve a substantial decline in the SOFA score, with secondary outcomes including mortality rates and safety measures.

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