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Eledon Pharmaceuticals Announces 12th Participant Enrolled in Phase 2 BESTOW Trial Evaluating Tegoprubart for the Prevention of Organ Rejection

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Eledon Pharmaceuticals, Inc. (ELDN) announced the enrollment of the 12th participant in the Phase 2 BESTOW trial comparing tegoprubart with tacrolimus for kidney transplant rejection prevention. The trial progress indicates a demand for new immunosuppressive options due to the risks associated with current therapies.
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The enrollment progression in Eledon's Phase 2 BESTOW trial is indicative of the company's operational efficiency and the potential market demand for an alternative to current immunosuppressive therapies. The focus on tegoprubart suggests a strategic move to address the long-term complications associated with calcineurin inhibitors (CNIs), such as nephrotoxicity and diabetes. As a pharmaceutical analyst, one would scrutinize the trial's design and enrollment rate, which can be a proxy for future success. A faster-than-expected enrollment could signal a high interest level within the medical community and among patients, possibly translating into a competitive advantage if the drug's efficacy and safety profiles are proven.

Investors should monitor the trial's progress closely, as positive outcomes could lead to significant market share in the transplantation medication sector. However, the inherent risks of clinical trials, such as potential safety issues or lack of efficacy, could impact the company's financial projections and stock performance. Moreover, the ability of tegoprubart to meet the unmet needs in organ transplantation without the side effects of CNIs could disrupt the current standard of care, potentially leading to a revaluation of Eledon's market capitalization.

From a medical research perspective, the BESTOW trial's head-to-head comparison of tegoprubart with tacrolimus is a significant undertaking. It is essential to explore alternatives that could mitigate the adverse effects of CNIs. The medical community is well aware of the balance that must be struck between immunosuppression and toxicity. A successful trial could lead to a paradigm shift in post-transplant care, emphasizing the importance of long-term graft survival without compromising patient quality of life.

Long-term graft survival is a critical measure of success in kidney transplantation. The statistic indicating that 30-50% of kidney transplants fail within 10-15 years due to CNI toxicity underscores the importance of this research. If tegoprubart can demonstrate a reduction in nephrotoxicity while maintaining or improving rejection rates, it could become a new standard of care. This would have profound implications not only for patients' health outcomes but also for healthcare costs associated with long-term complications and subsequent treatments.

From an economic standpoint, the development of a novel immunosuppressive agent like tegoprubart has the potential to reduce the long-term healthcare costs associated with kidney transplantation. The direct costs of managing CNI-related complications are substantial, not to mention the indirect costs such as loss of productivity and quality of life for patients. Thus, an alternative that can decrease these complications could offer significant savings to healthcare systems and insurers.

Furthermore, the successful commercialization of tegoprubart could lead to increased valuation of Eledon Pharmaceuticals in the biotech sector. Investors and healthcare economists would be interested in the drug's pricing strategy, market penetration potential and the long-term impact on the company's revenue streams. The drug's adoption rate will also be influenced by how well it is received by the transplantation community, payer coverage and the outcomes of subsequent Phase 3 trials, assuming Phase 2 results are positive.

IRVINE, Calif., March 25, 2024 (GLOBE NEWSWIRE) -- Eledon Pharmaceuticals, Inc. (“Eledon”) (NASDAQ: ELDN) today announced the enrollment of the 12th participant on March 23, 2024, in the Company’s ongoing Phase 2 BESTOW trial assessing tegoprubart head-to-head with tacrolimus for the prevention of rejection in kidney transplantation.

“We are pleased with the strong pace of enrollment in our Phase 2 BESTOW trial and believe it speaks to the underlying demand for a new immunosuppressive regimen for the tens of thousands of patients each year who undergo kidney transplantation,” said David-Alexandre C. Gros, M.D., Chief Executive Officer.

The Risk of Organ Failure in Transplantation

In transplantation procedures, organ rejection is a major cause of graft failure, which can be a life-threatening condition. Rejection occurs due to allorecognition, wherein the recipient's immune system identifies the transplanted organ as foreign tissue, triggering an immune response against the transplanted organ. To reduce the risk of rejection, patients are treated with immunosuppressive therapies for life. Calcineurin inhibitors (“CNIs”) are a critical component of most immunosuppressive regimens to prevent acute and long-term organ transplant rejection. However, chronic exposure to CNIs (tacrolimus is the drug most commonly used) is associated with nephrotoxicity, hypertension, new onset diabetes due to pancreatic beta cell toxicity, as well as central nervous system side effects like tremor. Regarding kidney transplantation, the toxicity associated with CNIs causes 30-50% of kidney transplants to fail with 10-15 years of transplantation. Strategies to better and more safely protect transplanted organs and thus increase how long they function represent a significant area of unmet need in organ transplantation.

About Eledon Pharmaceuticals and tegoprubart

Eledon Pharmaceuticals, Inc. is a clinical stage biotechnology company that is developing immune-modulating therapies for the management and treatment of life-threatening conditions. The Company’s lead investigational product is tegoprubart, an anti-CD40L antibody with high affinity for the CD40 Ligand, a well-validated biological target that has broad therapeutic potential. The central role of CD40L signaling in both adaptive and innate immune cell activation and function positions it as an attractive target for non-lymphocyte depleting, immunomodulatory therapeutic intervention. The Company is building upon a deep historical knowledge of anti-CD40 Ligand biology to conduct preclinical and clinical studies in kidney allograft transplantation, xenotransplantation, and amyotrophic lateral sclerosis (ALS). Eledon is headquartered in Irvine, California. For more information, please visit the Company’s website at www.eledon.com.

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Forward-Looking Statements

This press release contains forward-looking statements that involve substantial risks and uncertainties. Any statements about the demand for a new and better immunosuppressive regimen for patients who undergo kidney transplantation, or statements about the Company’s other future expectations, plans and prospects, as well as other statements containing the words “believes,” “anticipates,” “plans,” “expects,” “estimates,” “intends,” “predicts,” “projects,” “targets,” “looks forward,” “could,” “may,” and similar expressions, constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are inherently uncertain and are subject to numerous risks and uncertainties, including: risks relating to the safety and efficacy of our drug candidates; risks relating to clinical development timelines, including interactions with regulators and clinical sides, as well as patient enrollment; risks relating to costs of clinical trials and the sufficiency of the company’s capital resources to fund planned clinical trials; and risks associated with the impact of the ongoing coronavirus pandemic. Actual results may differ materially from those indicated by such forward-looking statements as a result of various factors. These risks and uncertainties, as well as other risks and uncertainties that could cause the company’s actual results to differ significantly from the forward-looking statements contained herein, are discussed in our quarterly 10-Qs, annual 10-K, and other filings with the U.S. Securities and Exchange Commission, which can be found at www.sec.gov. Any forward-looking statements contained in this press release speak only as of the date hereof and not of any future date, and the company expressly disclaims any intent to update any forward-looking statements, whether as a result of new information, future events or otherwise. 

Investor Contact:

Stephen Jasper
Gilmartin Group
(858) 525 2047
stephen@gilmartinir.com

Media Contact:

Jenna Urban
Berry & Company Public Relations
(212) 253 8881
jurban@berrypr.com

Source: Eledon Pharmaceuticals


FAQ

What trial is Eledon Pharmaceuticals conducting regarding kidney transplantation?

Eledon Pharmaceuticals is conducting the Phase 2 BESTOW trial comparing tegoprubart with tacrolimus for the prevention of rejection in kidney transplantation.

What are the risks associated with organ rejection in transplantation?

Organ rejection in transplantation can lead to graft failure, a life-threatening condition, caused by the recipient's immune system identifying the transplanted organ as foreign tissue and triggering an immune response.

What are the common side effects of chronic exposure to calcineurin inhibitors (CNIs) like tacrolimus?

Common side effects of chronic exposure to CNIs include nephrotoxicity, hypertension, new onset diabetes due to pancreatic beta cell toxicity, and central nervous system side effects like tremor.

What percentage of kidney transplants fail within 10-15 years due to the toxicity associated with CNIs?

30-50% of kidney transplants fail within 10-15 years due to the toxicity associated with CNIs like tacrolimus.

What is the unmet need in organ transplantation highlighted by Eledon Pharmaceuticals?

Eledon Pharmaceuticals emphasizes the need for better and safer strategies to protect transplanted organs and prolong their functioning, addressing a significant area of unmet need in organ transplantation.

Eledon Pharmaceuticals, Inc.

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About ELDN

eledon pharmaceuticals, inc. is a clinical stage biotechnology company using its expertise in targeting the cd40l pathway to develop potential treatments for people undergoing organ or cellular transplantation, and for people with autoimmune and neurodegenerative disease. our lead program, at-1501, is a potential best-in-class humanized igg1 anti-cd40l antibody with high affinity for cd40l, a well-validated biological target with broad therapeutic potential. the cd40/cd40l pathway plays a central role in generating pro-inflammatory responses in autoimmune disease, allograft transplant rejection, and neuroinflammation.