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uniQure Presents Clinical Case Study of First Patient Dosed with AMT-260 in Refractory Mesial Temporal Lobe Epilepsy (MTLE)

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uniQure has presented promising early results from the first participant in its Phase I/IIa GenTLE clinical trial of AMT-260, a gene therapy candidate for refractory Mesial Temporal Lobe Epilepsy (MTLE). The patient, who previously experienced an average of seven seizures monthly, showed a remarkable 92% reduction in seizure frequency over five months post-treatment, with no seizures reported in the last 60 days and no serious adverse events. AMT-260 is a one-time gene therapy designed to suppress the GRIK2 gene and GluK2 expression, which are believed to trigger seizures. The ongoing trial will evaluate two dose cohorts of six patients each across 12 U.S. sites, with additional sites planned by end of 2025.
uniQure ha presentato risultati promettenti dai primi dati raccolti nel primo partecipante dello studio clinico di Fase I/IIa GenTLE su AMT-260, un candidato alla terapia genica per l'epilessia temporale mesiale refrattaria (MTLE). Il paziente, che precedentemente soffriva in media di sette crisi epilettiche al mese, ha mostrato una significativa riduzione del 92% nella frequenza delle crisi nei cinque mesi successivi al trattamento, senza crisi negli ultimi 60 giorni e senza eventi avversi gravi. AMT-260 è una terapia genica somministrata una sola volta, progettata per sopprimere il gene GRIK2 e l'espressione di GluK2, ritenuti responsabili dell'innesco delle crisi. Lo studio in corso valuterà due coorti di dose, ciascuna composta da sei pazienti, in 12 centri negli Stati Uniti, con l'aggiunta di ulteriori siti prevista entro la fine del 2025.
uniQure ha presentado resultados prometedores del primer participante en su ensayo clínico de Fase I/IIa GenTLE con AMT-260, un candidato a terapia génica para la epilepsia del lóbulo temporal mesial refractaria (MTLE). El paciente, que previamente sufría un promedio de siete convulsiones mensuales, mostró una notable reducción del 92% en la frecuencia de convulsiones durante cinco meses después del tratamiento, sin convulsiones reportadas en los últimos 60 días y sin eventos adversos graves. AMT-260 es una terapia génica administrada una sola vez, diseñada para suprimir el gen GRIK2 y la expresión de GluK2, que se cree que desencadenan las convulsiones. El ensayo en curso evaluará dos cohortes de dosis, cada una con seis pacientes, en 12 sitios de EE. UU., con planes de añadir más sitios para finales de 2025.
uniQure는 난치성 내측 측두엽 간질(MTLE) 치료를 위한 유전자 치료 후보물질 AMT-260의 1상/2a상 GenTLE 임상시험 첫 참가자 초기 결과를 발표했습니다. 이전에 평균 월 7회의 발작을 경험했던 환자는 치료 후 5개월 동안 발작 빈도가 92% 감소했으며, 최근 60일간 발작 없이 심각한 부작용도 보고되지 않았습니다. AMT-260은 발작을 유발하는 것으로 알려진 GRIK2 유전자와 GluK2 발현을 억제하도록 설계된 1회 투여 유전자 치료제입니다. 현재 진행 중인 임상시험은 미국 내 12개 기관에서 각각 6명의 환자를 대상으로 두 개의 용량 코호트를 평가하며, 2025년 말까지 추가 기관도 계획되어 있습니다.
uniQure a présenté des résultats préliminaires prometteurs du premier participant à son essai clinique de phase I/IIa GenTLE avec AMT-260, un candidat en thérapie génique pour l'épilepsie temporale mésiale réfractaire (MTLE). Le patient, qui souffrait auparavant en moyenne de sept crises par mois, a montré une réduction remarquable de 92 % de la fréquence des crises pendant les cinq mois suivant le traitement, sans crises signalées au cours des 60 derniers jours et sans événements indésirables graves. AMT-260 est une thérapie génique administrée une seule fois, conçue pour supprimer le gène GRIK2 et l'expression de GluK2, considérés comme déclencheurs des crises. L'essai en cours évaluera deux cohortes de dose de six patients chacune dans 12 centres aux États-Unis, avec des sites supplémentaires prévus d'ici fin 2025.
uniQure hat vielversprechende erste Ergebnisse des ersten Teilnehmers an der Phase-I/IIa-GenTLE-Studie zu AMT-260 vorgestellt, einem Gentherapie-Kandidaten für refraktäre mesiale Temporallappen-Epilepsie (MTLE). Der Patient, der zuvor durchschnittlich sieben Anfälle pro Monat hatte, zeigte eine bemerkenswerte 92%ige Reduktion der Anfallshäufigkeit über fünf Monate nach der Behandlung, ohne Anfälle in den letzten 60 Tagen und ohne schwerwiegende Nebenwirkungen. AMT-260 ist eine einmalige Gentherapie, die darauf abzielt, das GRIK2-Gen und die GluK2-Expression zu unterdrücken, die als Auslöser für Anfälle gelten. Die laufende Studie wird zwei Dosis-Kohorten mit jeweils sechs Patienten an 12 Standorten in den USA evaluieren, mit weiteren Standorten, die bis Ende 2025 geplant sind.
Positive
  • 92% reduction in seizure frequency observed in first patient
  • No serious adverse events reported through first five months
  • No seizures reported during last 60 days of follow-up period
  • Trial expansion to additional sites planned by end of 2025
Negative
  • Data limited to only one patient so far
  • Longer follow-up period needed to confirm durability of treatment
  • Additional patient data required to validate efficacy

Insights

Early results from uniQure's AMT-260 gene therapy show promising 92% seizure reduction in first MTLE patient with no serious adverse events.

The data presented on uniQure's investigational gene therapy AMT-260 represents a potentially significant development in the treatment landscape for refractory mesial temporal lobe epilepsy (MTLE). The reported 92% reduction in seizure frequency in the first participant is clinically meaningful, especially considering this patient experienced no seizures during the last 60 days of the 5-month follow-up period.

Refractory MTLE is notoriously challenging to treat, with patients typically failing multiple anti-seizure medications. The standard intervention often involves resective surgery of the affected temporal lobe, which carries significant risks including memory impairment. A one-time administered gene therapy that specifically targets the underlying pathophysiology could represent a paradigm shift if these early results are maintained and replicated.

The mechanism of action is particularly interesting - AMT-260 delivers engineered microRNAs to suppress the GRIK2 gene and reduce expression of GluK2, a kainate glutamate receptor subunit implicated in seizure generation. This targeted approach addresses a specific molecular pathway believed to be instrumental in MTLE pathogenesis.

While these results are encouraging, several important caveats exist: this represents data from just one patient in a planned 12-patient study; the 5-month follow-up is relatively short for assessing durability; and as an open-label trial without a control group, placebo effects cannot be completely excluded. The company is appropriately cautious in noting that additional follow-up and more patient data are needed before drawing firm conclusions about efficacy.

~ No serious adverse events and 92% reduction in seizure frequency observed in the first trial participant through first five months of follow up ~

~ Data to be presented today at Epilepsy Therapies & Diagnostics Development Symposium (ETDD) ~

LEXINGTON, Mass. and AMSTERDAM, May 29, 2025 (GLOBE NEWSWIRE) -- uniQure N.V. (NASDAQ: QURE), a leading gene therapy company advancing transformative therapies for patients with severe medical needs, today announced the presentation of a clinical case study of the first participant dosed in the first cohort of its ongoing Phase I/IIa trial of an investigational gene therapy candidate, AMT-260, in patients with refractory MTLE. The data are being presented today, May 29, 2025 by Firas Taha, M.D., Medical Director, Clinical Development at uniQure, at the Epilepsy Therapies & Diagnostics Development Symposium in Leesburg, Virginia.

The first participant in the GenTLE clinical trial has been followed for five months post-administration of AMT-260. Prior to treatment, the participant experienced an average of seven seizures a month, including five seizures in the 30-day period immediately prior to dosing. Since receiving AMT-260, the participant has reported two seizures during the five-month follow-up period, with no seizures reported during the last 60 days as of April 17th (cutoff date), the last date data were obtained on this participant for presentation in the ETDD symposium case study and no reported serious adverse events as of the cutoff date.

“These early results from the first trial participant are very encouraging and support our belief that AMT-260 has the potential to be a valuable treatment alternative for people living with drug-resistant mesial temporal lobe epilepsy,” stated Walid Abi-Saab, M.D., chief medical officer of uniQure. “While additional follow-up on this first trial participant and data from additional participants in the trial are needed, the reduction in seizure frequency and tolerability in this first trial participant as of the cutoff date offer a compelling early signal of the potential impact of AMT-260 that warrants continued investigation. There remains a high unmet need for safer, more effective treatment options for people with drug-resistant MTLE and we’re eager to continue evaluating AMT-260 in additional trial participants.”

AMT-260 is a one-time administered, in vivo gene therapy candidate intended to reduce or eliminate seizures in people with drug-resistant mesial temporal lobe epilepsy. AMT-260 is designed to locally deliver two engineered microRNAs to suppress the GRIK2 gene and the aberrant expression of GluK2, a subunit of a kainate glutamate receptor that is believed to trigger seizures in people with refractory MTLE.

GenTLE is a Phase I/IIa multi-center, open-label trial being conducted in the U.S. to evaluate the safety, tolerability and exploratory signs of efficacy of AMT-260 in individuals with refractory MTLE. The study is comprised of two dose cohorts of six patients each. The study is actively screening additional patients throughout 12 sites, with additional sites expected to be activated by the end of 2025. Additional details are available on www.clinicaltrials.gov (NCT06063850).

About Refractory Mesial Temporal Lobe Epilepsy

Temporal lobe epilepsy is a chronic neurologic disorder and is the most common form of focal epilepsy with more than 600,000 individuals suffering from the disorder in the United States. Approximately 80% of all temporal lobe epilepsy cases are mesial, which involves the medial (or internal) structures of the brain. The majority of MTLE cases are refractory to anti-seizure medications, which severely limits treatment options.

About uniQure

uniQure is delivering on the promise of gene therapy – single treatments with potentially curative results. The approvals of uniQure’s gene therapy for hemophilia B – an historic achievement based on more than a decade of research and clinical development – represent a major milestone in the field of genomic medicine and ushers in a new treatment approach for patients living with hemophilia. uniQure is now advancing a pipeline of proprietary gene therapies for the treatment of patients with Huntington's disease, refractory temporal lobe epilepsy, ALS, Fabry disease, and other severe diseases. www.uniQure.com

uniQure Forward-Looking Statements

This press release contains forward-looking statements. Other than statements of historical fact, all statements contained in this press release are forward-looking statements, including, without limitation, statements about the design, advancement and intended effects of AMT-260, our belief that AMT-260 has the potential to be a valuable treatment alternative for people living with drug-resistant mesial temporal lobe epilepsy, our goals for site expansion and patient enrollment for AMT-260 and other statements identified by the terms “anticipate,” “believe,” “could,” “establish,” “estimate,” “expect,” “goal,” “intend,” “look forward to,” “may,” “plan,” “potential,” “predict,” “project,” “seek,” “should,” “will,” “would” and similar expressions. Forward-looking statements are not promises or guarantees of future performance, and are subject to a variety of risks and uncertainties, many of which are beyond our control. Investors are cautioned that any forward-looking statements, including updates regarding the future development of gene therapy candidates, including AMT-260 for drug-resistant mesial temporal lobe epilepsy, are not guarantees of future performance or results and involve substantial risks and uncertainties. Actual results, developments and events may differ materially from those in the forward-looking statements as a result of various risk factors including: risks associated with the clinical results and the development and timing of our clinical programs; our interactions with regulatory authorities, which may affect the initiation, timing and progress of clinical trials and pathways to approval, if any; our effectiveness in managing current and future clinical trials and regulatory processes; our ability to demonstrate the therapeutic benefits of our gene therapy candidates, including AMT-260, in clinical trials; our ability to continue to build and maintain our infrastructure and personnel needed to achieve our goals; the continued development and acceptance of gene therapies; our ability to obtain, maintain and protect our intellectual property, our ability to fund our operations and to raise additional capital as needed; and other risks as may be detailed from time to time under the heading “Risk Factors” in our periodic filings with the U.S. Securities & Exchange Commission (SEC), including our Annual Report on Form 10-K filed with the SEC on February 27, 2025, our Quarterly Report on Form 10-Q filed with the SEC on May 9, 2025, and in other filings that we make with the SEC from time to time. Given these risks, uncertainties and other factors, you should not place undue reliance on these forward-looking statements. The information contained in this press release is as of the date of this press release and we assume no obligation to update the forward-looking statements contained in this release as the result of new information or future events or developments.

uniQure Contacts:

FOR INVESTORS:FOR MEDIA:
  
Chiara RussoTom Malone
Direct: 617-306-9137Direct: 339-970-7558
Mobile: 617-306-9137Mobile:339-223-8541
c.russo@uniQure.comt.malone@uniQure.com

FAQ

What are the initial results of uniQure's AMT-260 trial for epilepsy?

The first patient showed a 92% reduction in seizure frequency over 5 months, with no seizures in the last 60 days and no serious adverse events reported.

How does uniQure's AMT-260 gene therapy work for MTLE?

AMT-260 is a one-time gene therapy that delivers engineered microRNAs to suppress the GRIK2 gene and GluK2 expression, which are believed to trigger seizures in refractory MTLE patients.

How many patients will be included in uniQure's GenTLE trial?

The GenTLE trial will include two dose cohorts of six patients each, for a total of 12 patients, across 12 U.S. sites with more sites planned by end of 2025.

What was the baseline seizure frequency of the first patient in QURE's AMT-260 trial?

Before treatment, the patient experienced an average of seven seizures per month, including five seizures in the 30-day period before dosing.

When will uniQure (QURE) complete the GenTLE clinical trial?

The trial is currently ongoing and actively screening patients, with additional sites expected to be activated by the end of 2025. The completion date has not been specified in the press release.
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