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Everest Medicines and Kezar Life Sciences Receive IND Approval from China NMPA for PALIZADE Trial in Lupus Nephritis

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Everest Medicines and Kezar Life Sciences receive approval for Phase 2b PALIZADE trial in China for zetomipzomib in lupus nephritis patients, marking a significant milestone in the development of novel autoimmune disease treatments.
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The approval of Kezar's investigational new drug, zetomipzomib, for a Phase 2b trial in China is a significant milestone for both Everest Medicines and Kezar Life Sciences. This development is poised to have a substantial impact on the companies' valuation and future revenue streams, given the size of the potential market. With an estimated 400,000-600,000 lupus nephritis patients in China, the approval opens up a significant patient population for zetomipzomib. If the trial results are positive, this could lead to a large-scale commercial opportunity.

Moreover, the strategic partnership between Everest and Kezar, with Everest holding exclusive rights to develop and commercialize the drug in key Asian markets, could enhance the regional market penetration and optimize the revenue potential for both entities. The autoimmune disease treatment market is highly competitive and successful development of a first-in-class selective immunoproteasome inhibitor could position Everest Medicines as a leader in this niche. Investors should monitor the progress of the PALIZADE trial closely as it could be a catalyst for stock performance.

From a medical research perspective, the approval of zetomipzomib's IND by the CDE is a promising advancement for lupus nephritis treatment. As a first-in-class selective immunoproteasome inhibitor, zetomipzomib represents a novel approach to managing autoimmune diseases. The specificity of immunoproteasome inhibition could potentially offer a better safety profile and efficacy compared to current treatments, which often involve broad immunosuppression with significant side effects.

The ongoing PALIZADE trial's placebo-controlled design is critical for determining the true efficacy and safety of zetomipzomib. The dual dose levels being evaluated will provide essential data on the optimal therapeutic window. Given the chronic nature of lupus nephritis and the need for long-term treatment, the tolerability of zetomipzomib will be as important as its efficacy. Success in the trial could lead to a new standard of care for LN patients, which is currently an area with significant unmet medical need.

As a market research analyst, the approval of the Phase 2b trial for zetomipzomib in China is indicative of the growing pharmaceutical market in the region, particularly for novel treatments in the autoimmune space. The market dynamics for lupus nephritis treatments in China are influenced by the number of patients, the increasing awareness of the disease and the healthcare infrastructure's ability to support new therapies. The collaboration between Everest Medicines and Kezar Life Sciences taps into these dynamics, potentially accelerating the drug's time to market and adoption rate.

Given the exclusivity rights obtained by Everest for Greater China, South Korea and Southeast Asia, the successful trial and subsequent commercialization could significantly impact the company's market share and competitive positioning. It's crucial to understand that the pharmaceutical market in Asia is subject to regulatory and market access challenges, which Everest's local presence may help navigate more effectively than Kezar could independently. This strategic move could potentially lead to a more rapid uptake of zetomipzomib upon successful completion of clinical trials and approval.

SHANGHAI, China and SOUTH SAN FRANCISCO, Calif., Feb. 26, 2024 /PRNewswire/ -- Everest Medicines (HKEX 1952.HK) and Kezar Life Sciences, Inc. (Nasdaq: KZR) announced today that the Center for Drug Evaluation (CDE) of China's National Medical Products Administration (NMPA) approved Kezar's investigational new drug (IND) application for initiation of the Phase 2b PALIZADE trial in China of zetomipzomib in patients with lupus nephritis (LN).  Zetomipzomib is a novel, first-in-class, selective immunoproteasome inhibitor with broad therapeutic potential across multiple autoimmune diseases.

Everest will join Kezar and enroll patients in China as part of the ongoing PALIZADE trial, a global, placebo-controlled Phase 2b clinical trial evaluating the efficacy and safety of two dose levels of zetomipzomib or placebo in patients with active LN.  In September 2023, Everest obtained exclusive rights to develop and commercialize zetomipzomib in Greater China, South Korea and Southeast Asia. LN is the most common secondary immune-mediated glomerular disease, which may gradually lead to kidney failure.  There are an estimated 400,000-600,000 LN patients in China.

"With the approval of the zetomipzomib IND in China, Everest now has three medicines in the renal space either commercialized or in clinical development. We are excited about the initiation of this clinical trial with the potential to benefit patients with LN experiencing critical unmet medical needs," said Rogers Yongqing Luo, Chief Executive Officer of Everest Medicines. "We intend to leverage our expertise in clinical development, regulatory filings and our newly established commercial infrastructure in China to advance the development of zetomipzomib. We look forward to working closely with Kezar on enrolling the PALIZADE trial and furthering Everest's leadership position in renal and autoimmune diseases in Asia."

"This important milestone demonstrates that Everest is the ideal regional partner for Kezar in our efforts to develop zetomipzomib," said Christopher Kirk, Ph.D., Chief Executive Officer of Kezar. "We will continue to work with the outstanding team at Everest to help drive enrollment in PALIZADE and get zetomipzomib to even more patients in need in Asia."

PALIZADE is a global, placebo-controlled, randomized, double-blind Phase 2b clinical trial evaluating the efficacy and safety of two dose levels of zetomipzomib in patients with active LN. Target enrollment will be 279 patients, randomly assigned to receive 30 mg of zetomipzomib, 60 mg of zetomipzomib or placebo subcutaneously once weekly for 52 weeks, in addition to standard background therapy. Background therapy can, but will not be mandated to, include standard induction therapy. Over the initial 16 weeks, there will be a mandatory corticosteroid taper to 5 mg per day or less. End-of-treatment assessments will occur at Week 53. The primary efficacy endpoint is the proportion of patients who achieve a complete renal response (CRR) at Week 37, including a urine protein-to-creatine ratio (UPCR) of 0.5 or less without receiving rescue or prohibited medications. 

About Zetomipzomib

Zetomipzomib (KZR-616) is a novel, first-in-class, selective immunoproteasome inhibitor with broad therapeutic potential across multiple autoimmune diseases. Preclinical research demonstrates that selective immunoproteasome inhibition results in a broad anti-inflammatory response in animal models of several autoimmune diseases, while avoiding immunosuppression. Data generated from Phase 1 and Phase 2 clinical trials provide evidence that zetomipzomib exhibits a favorable safety and tolerability profile for development in severe, chronic autoimmune diseases.

About Everest Medicines

Everest Medicines is a biopharmaceutical company focused on discovering, developing, manufacturing and commercializing transformative pharmaceutical products and vaccines that address critical unmet medical needs for patients in Asian markets. The management team of Everest Medicines has deep expertise and an extensive track record from both leading global pharmaceutical companies and local Chinese pharmaceutical companies in high-quality discovery, clinical development, regulatory affairs, CMC, business development and operations. Everest Medicines has built a portfolio of potentially global first-in-class or best-in-class molecules in the company's core therapeutic areas of renal diseases, infectious diseases and autoimmune disorders. For more information, please visit its website at www.everestmedicines.com.

About Kezar Life Sciences

Kezar Life Sciences is a clinical-stage biopharmaceutical company developing novel treatments for immune-mediated and oncologic disorders. Zetomipzomib, a selective immunoproteasome inhibitor, is currently being evaluated in a Phase 2b clinical trial for lupus nephritis and a Phase 2a clinical trial for autoimmune hepatitis. This product candidate also has the potential to address multiple chronic immune-mediated diseases. Kezar's oncology product candidate, KZR-261, targeting the Sec61 translocon and protein secretion pathway, is being evaluated in an open-label dose-escalation Phase 1 clinical trial to assess safety, tolerability and preliminary tumor activity in solid tumors. For more information, visit www.kezarlifesciences.com, and follow us on LinkedIn, Facebook, Twitter and Instagram.

Forward-Looking Statements:

This news release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995.  Words such as "will," "expects," "anticipates," "future," "intends," "plans," "believes," "estimates," "confident", "potential"  and similar statements (as well as other words or expressions referencing future events, conditions or circumstances) are intended to identify forward-looking statements. These forward-looking statements are based on the companies' expectations and assumptions as of the date of this press release. Forward-looking statements contained in this press release include, but are not limited to, statements about the clinical development of zetomipzomib, the initiation, timing and enrollment of clinical trials, the clinical development and therapeutic potential of zetomipzomib, and the likelihood of obtaining regulatory approval of zetomipzomib. Such forward-looking statements are not guarantees of future performance and involve risks and uncertainties, or other factors, some of which are beyond the control of the companies and are unforeseeable. Therefore, the actual results may differ from those in the forward-looking statements as a result of various factors and assumptions, such as future changes and developments in the companies' business, competitive environment, regulatory environment, political, economic, legal and social conditions.  Except as required by law, Everest and Kezar, as well as their affiliates, directors, officers, advisors or representatives, assume no obligation to update or revise forward-looking statements to reflect new information, future events or circumstances, even as new information becomes available.

Cision View original content:https://www.prnewswire.com/news-releases/everest-medicines-and-kezar-life-sciences-receive-ind-approval-from-china-nmpa-for-palizade-trial-in-lupus-nephritis-302071767.html

SOURCE Everest Medicines

The approval marks a significant milestone in the development of novel autoimmune disease treatments, specifically for lupus nephritis patients.

The Phase approved is Phase 2b for the PALIZADE trial in China for zetomipzomib in lupus nephritis patients.

Zetomipzomib is a novel, first-in-class, selective immunoproteasome inhibitor with broad therapeutic potential across multiple autoimmune diseases.

There are an estimated 400,000-600,000 lupus nephritis patients in China.

Everest has exclusive rights to develop and commercialize zetomipzomib in Greater China, South Korea, and Southeast Asia.
Kezar Life Sciences Inc

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About KZR

kezar life sciences, inc., a clinical-stage biotechnology company, engages in the discovery and development of novel small molecule therapeutics to treat unmet needs in autoimmunity and cancer in the united states. the company's lead product candidate is kzr-616, a selective immunoproteasome inhibitor that is in phase 2 clinical trials across five autoimmune indications, including lupus nephritis, autoimmune hemolytic anemia, immune thrombocytopenia, dermatomyositis, and polymyositis; and phase 1b/2 clinical trials in systemic lupus erythematosus and lupus nephritis. its preclinical products include kzr-616, a selective immunoproteasome inhibitor for the treatment of various autoimmune disease indications; and kzr-tbd for the treatment of oncology and autoimmunity. the company was founded in 2015 and is headquartered in south san francisco, california.