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LYT-100 for Lymphedema

LYT-100 (deupirfenidone) is being advanced for the potential treatment of disorders of lymphatic flow, such as lymphedema. LYT-100 is a deuterated, oral small molecule designed to overcome the challenges associated with pirfenidone, an approved and marketed anti-inflammatory and anti-fibrotic drug. LYT-100, a new chemical entity, retains the pharmacology of pirfenidone but has a differentiated pharmacokinetic (PK) profile, which is designed to enable improved tolerability, less frequent dosing and potentially increased efficacy. PureTech recently completed a Phase 1 multiple ascending dose and food effect study of LYT-100 in healthy volunteers, which demonstrated a favorable tolerability and PK profile for LYT-100. LYT-100 has also been evaluated in preclinical lymphedema models, where it halted progression of lymphedema and reduced swelling volume.

LYT-100 is currently in a Phase 2a proof-of-concept study in patients with breast cancer-related, upper limb secondary lymphedema, a chronic and progressive disorder for which there are no FDA approved drug therapies. The primary endpoints of the study will be safety and tolerability of LYT-100. As secondary endpoints, PureTech will also study outcome measures of lymphedema, including relative limb volume, bioimpedance spectroscopy – a measure of extracellular fluid change, tonometry, a measure of fibrosis, and serum levels of inflammatory and fibrotic biomarkers. 

PureTech previously completed a Phase 1 randomized, double-blind multiple ascending dose and food effect study, which was designed to evaluate the safety, tolerability and pharmacokinetic (PK) profile of LYT-100 in healthy volunteers. The study demonstrated favorable proof-of-concept for LYT-100’s tolerability and PK profile.

Participation in the LYT-100 Phase 2a Study

The randomized, placebo-controlled, Phase 2a proof-of-concept study of LYT-100 is expected to enroll up to 50 patients with breast cancer-related, upper limb secondary lymphedema. The primary endpoints for this trial will be safety and tolerability, with secondary clinical efficacy and biomarker endpoints. The study is not powered to evaluate statistical significance compared to placebo, but PureTech expects to use data emerging from the trial to shape future clinical protocols, including selection of potential future efficacy study endpoints. 

If you are interested in participating in the Phase 2a clinical study of LYT-100, please click here or see the below contact information for the study sites that are currently recruiting.

Institution: Macquarie University Health Science Center
Address: 2 Technology Place, Sydney, NSW
Principal Investigator/Site Staff: Helen Mackie (PI), Louise Kolemeyer (Sub-I), Nora Maher (Coordinator)
Phone: 61298475085, 61298502358, 61298122957
Email: dr.helenmackie@gmail.com, louise.koelmeyer@mq.edu.au, nora.maher@mq.edu.au

Institution: Flinders University Medical Center
Address: Flinders Drive, Bedford Park, Adelaide, SA
Principal Investigator/Site Staff: Nazim Abbas (PI), Michelle Parsons (Coordinator)
Phone:  61882044903
Email: nazim.abbas@flinders.edu.au, michelle.parsons@flinders.edu.au

Institution: Sunshine Coast University Hospital: Sunshine Coast, QLND
Address: 9 Ochre Way, Buderim, QLD
Principal Investigator/Site Staff: Hong Shue (PI), Susan Poechhacker (Coordinator)
Phone: 61754790000, 61421964895
Email: hong.shue@schoc.com.au, spoechha@usc.edu.au

Institution: MACRO Trials,  Los Angeles, CA
Address: 955 Carrillo Drive, Suite 100 Los Angeles, CA
Principal Investigator/Site Staff: Nima Naghshineh (PI) Tiara Yamamoto (Coordinator)
Phone:  6266968181, 7473343540
Email: drnima@drnimaplasticsurgery.com, tyamamoto@macrotrials.com

Institution: City of Hope National Medical Center, Duarte, CA
Address: 1500 East Duarte Rd, Duarte, C
Principal Investigator/Site Staff: Alex Wong (PI), Maria Castillo (Coordinator)
Phone: 6262185621, 6262564673
Email: alexwong@coh.org, macastillo@coh.org

Institution: Accel Clinical ARS Maitland, Maitland, FL
Address: 2300 Maitland Center Pkwy UNIT 230 Maitland, FL
Principal Investigator/Site Staff: Eva-Maria Heurich (PI), Bridey Casillas (Coordinator)
Phone: 4074661613, 4076441165
Email: eheurich@accelclinical.com, bcasillas@accelclinical.com

Institution: Accel Research Sites Neurostudies, Decatur, GA
Address: 755 Commerce Dr, Suite 200 Decatur, GA
Principal Investigator/Site Staff: Ramana Puppala (PI), A.C. Carroway (Coordinator)
Phone: 8479629562
Email: rpuppala@accelclinical.com, acarroway@accelclinical.com

Institution: Memorial Sloane Kettering Cancer Center, New York, NY
Address: E 74th St, New York, NY
Principal Investigator/Site Staff: Michelle Corridi (PI)
Phone: 6466088042
Email: coriddim@mskcc.org

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