Monroe1
2 weeks ago
NORCROSS, Ga., February 18, 2025 (GLOBE NEWSWIRE) – Galectin Therapeutics, Inc. (NASDAQ: GALT), the leading developer of therapeutics that target galectin proteins, today announced additional results showing a statistically significant reduction in new varices in per-protocol patients (completers) enrolled in the U.S. from the NAVIGATE trial for belapectin in patients with Metabolic Dysfunction-Associated SteatoHepatitis (MASH) cirrhosis and portal hypertension.
The NAVIGATE trial top-line results showed that while the incidence of varices at 18 months was 43.2% lower in patients treated with belapectin 2 mg vs placebo, the composite endpoint did not reach statistical significance in the intent-to-treat population (N=355). However, in the completer population of 287 patients (revised), the incidence of varices was reduced by 49.3% in patients treated with belapectin 2 mg vs placebo (nominal p-value = 0.04 (revised)).
Following the favorable trend observed in the completers, the Company further analyzed the two thirds of the completer patients in the NAVIGATE trial enrolled in the U.S. (n=186). The incidence of varices in this population was significantly reduced by 68.1% (p=0.02) in patients treated with belapectin 2 mg (4 out of 60) vs placebo (13 out of 62) in the U.S. While all three cohorts of patients in the U.S. had a higher percentage use of GLP-1 and statins than the rest of the world, the belapectin cohorts performed much better than placebo in the U.S.
Joel Lewis, Chief Executive Officer at Galectin Therapeutics commented: “With the prevalence of MASH cirrhosis and clinically significant portal hypertension in the U.S. now estimated in Hepatology at around 3 million adults, the need for new treatments that can prevent disease progression is more urgent than we had anticipated. The significant reduction of 68% we see in incidence of new varices in completer patients in the U.S. from the NAVIGATE trial underscores belapectin’s potential as a treatment for MASH cirrhosis and portal hypertension. We are continuing to analyze the data from the trial, including from the approximately 50 patients who completed 36-months of therapy. We look forward to sharing additional clinical updates as data becomes available in the first quarter of 2025.”
The Company will determine next steps for belapectin development with potential partners in conjunction with the completion of the ongoing analyses.
1Younossi ZM, de Avila L, Racila A, et al. Prevalence and predictors of cirrhosis and portal hypertension in the United States. Hepatology. 2025 Jan 29. doi: 10.1097/HEP.0000000000001243.
Monroe1
2 months ago
In the pre-specified per-protocol population, belapectin showed a statistically significant reduction (p-value < 0.05) in development of esophageal varices in 2mg/kg cohort compared to placebo
While there was a favorable trend for incidence of varices in the primary end point intent-to-treat population, belapectin did not achieve statistical significance
Dr. Khurram Jamil, Chief Medical Officer at Galectin Therapeutics, stated, “While we had hoped that the NAVIGATE trial would meet its composite primary endpoint, we are highly encouraged by trends we have seen at only 18 months of treatment in the ITT population and by the statistically significant 48.9% reduction in new varices noted in the per-protocol population with belapectin 2 mg. All enrolled subjects transitioned into a 36-month treatment period, with approximately 50 subjects completing the full 36 months to date. We are still analyzing the extensive data from the trial and anticipate providing multiple clinical updates from the subjects completing 36-month therapy, as well as additional biomarker data in Q1 2025.”
Belapectin was overall well tolerated with no safety signals; incidence of adverse events and serious adverse events were comparable across the three cohorts
Additional data to be presented in early 2025
Results were damn good. Much better than doing nothing. So I do believe this will warrant at a minimum the "Right To Try" as studies continue from the trending up to significance at 36 months.
Glycobio
2 months ago
This quote sums it up succinctly. Dr. Chalasani has an impeccable reputation, a respected authority in the field, and he would not make up something that he doesn't believe and have evidence for.
"Belapectin clearly is offering a reproducible benefit and should be continued in clinical development as there is a significant unmet need for patients with MASH cirrhosis.” - Dr. Naga Chalasani
Dr. Chalasani is considered an authority in the fields of Nonalcoholic Fatty Liver Disease (NAFLD) and Drug Induced Liver Injury (DILI), two highly significant public health problems. His research has been continuously funded by the National Institutes of Health since 1999. He is currently the PI for three U01 awards and an R01 award from the National Institutes of Health. He published over 300 original papers, 3 Practice Guidelines, 47 book chapters/review articles, 31 editorials/commentaries, 16 symposium proceedings, and more than 500 abstracts. He has co-edited a textbook with Prof. Gyongyi Szabo titled ‘Alcoholic & Nonalcoholic Fatty Liver Disease – Bench to bedside’ (Springer 2015). He is the lead author for the AASLD Practice Guideline on the Diagnosis and Management of Nonalcoholic Fatty Liver Disease.
Glycobio
2 months ago
Some people posting here do not understand pharmacology.
A less effective higher dose happens sometimes especially in immunology (keep in mind that galectins are native immune system proteins that modulate macrophage polarization to affect fibrotic pathways). Examples of other common drugs exhibiting this behavior include immunomodulators, beta-blockers, and hormonal therapies, among others.
Why Higher Doses Can Appear Less Effective
In some studies, high doses of a drug can paradoxically look less effective. This can happen due to several factors:
- Reduced Receptor Turnover: If the target proteins (Galectin-3) are already occupied, additional drug might not only fail to add benefit but could also alter how the body handles or clears the complex, changing the dynamic equilibrium.
- Changes in Drug Clearance or Metabolism: Higher levels of belapectin might trigger regulatory mechanisms in the liver or kidneys that clear the drug more rapidly, resulting in reduced steady-state concentrations at the target site over time.
- Potential Off-Target Effects: Excess drug can bind weakly to non-target proteins or set off other responses, sometimes counteracting the positive effects seen at lower doses.
Ecomike
2 months ago
Insider director buy a day ago, above the price I paid days ago.
I like it, I love it, I want some more of it.
Shorts have no shares left to borrow and the cost to borrow is 98%
Holy shit Sherlock, never seen that before. Ever heard of a bear trap?
The guy funding GALT is no Dummy, and experienced and super rich $$$$$$.
⌛️⌛️⌛️ ⌛️ ⌛️
https://ih.advfn.com/stock-market/NASDAQ/galectin-therapeutics-GALT/stock-news/95177233/form-4-statement-of-changes-in-beneficial-owners