Table 4.
Assessment of protein-based drug delivery systems in humans.
Drug | Description | ID | Phase | Indication | # pts | Outcome | Ref |
---|---|---|---|---|---|---|---|
Elastin-like polypeptides | |||||||
PB1046 | Recombinant fusion of vasoactive intestinal peptide (VIP) and ELP | NCT03315507 | 1 | Pulmonary arterial hypertension | 3 | Dosed SC q1w for > 8 weeks, well tolerated. Improved disease in 1 pt | 164 |
NCT02808585 | 2 | Heart failure w/reduced ejection fraction | 29 | Dosed SC q1w for 4 weeks up to 1.2 mg/kg, well tolerated. Significant reductions in diastolic BP vs placebo | 221 | ||
PB0139 | Recombinant fusion of native insulin and ELP | NCT01835730 | 1 | T2D | 37 | Dose dependent decrease in FBG (range of −2 to −34 mg/dL). Well tolerated | 222 |
PB1023 | Recombinant fusion of glucagon-like peptide 1 (GLP-1) and ELP | NCT01236404 | 1/2a | T2D | 80 | Dosed SC q1w for 4 weeks. Induced significant reductions in FBG in a dose-dependent manner | 223 |
NCT01658501 | 2b | T2D | 593 | Dosed SC q1w for 4 weeks up to 1.35 mg/kg. Significant reductions in FBG at lowest tested dose (0.3 mg/kg) | 2241/ 2/2024 5:42:00 PM | ||
Gelatin | |||||||
Drug-loaded gelatin MPs | Cisplatin-conjugated gelatin microspheres bFGF-loaded gelatin microspheres | N/A | 1 | HCC | 19 | Transarterial chemoembolization using microspheres, ~48% nodule response rate | 225 |
bFGF-loaded gelatin microspheres | N/A | 1 | Critical limb ischemia | 10 | IM injection of 200 μg bFGF-incorporated gelatin MPs enabled significant improvement in tissue oxygenation 24 weeks post treatment | 226 | |
Albumin | |||||||
Nab-paclitaxel | Paclitaxel loaded onto human albumin | NCT00046527 | 3 | Metastatic breast cancer | 460 | IV injections in 3-week treatment cycle. Albumin-loaded paclitaxel induced higher response rates than paclitaxel alone (33% vs 19%) | 227 |
NCT00844649 | 3 | Pancreatic cancer | 861 | Gemcitabine + nab-paclitaxel improved survival rates vs gemcitabine alone | 228 | ||
Silk | |||||||
VX-103 | Antigen-loaded silk fibroin microneedle array | NCT06125717 | 1 | H1N1 influenza | 45 | Seroprotection rate of 92% at highest tested dose. Well tolerated. | 229 |
Ferritin | |||||||
H2HA-Ferittin | Ferritin nanoparticle presenting HA domain from H2N2 influenza virus | NCT03186781 | 1 | H2N2 influenza | 50 | Neutralizing antibody responses induced following IM administration | 2301/2/2024 5:42:00 PM |
bFGF, bovine fibroblast growth factor; FBG, fasting blood glucose; IM, intramuscular; IV, intravenous; q1w, once weekly; MP, microparticles; SC, subcutaneous.