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    Immusoft's Breakthrough in Engineered B Cell Therapy: A New Hope for Rare Diseases

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    Emad Roghani
    ·October 16, 2024
    ·1 min read

    October 16, 2024

    In a monumental stride toward treating rare genetic disorders, Immusoft—a biotech innovator in cell therapy—has unveiled promising results from its Phase 1 clinical trial of ISP-001. This groundbreaking engineered B cell therapy targets Mucopolysaccharidosis Type I (MPS I), offering renewed hope to patients afflicted by this debilitating condition. The latest data, as of September 19, 2024, not only indicates an absence of adverse events but also showcases significant pharmacodynamic and functional improvements in the treated patient. These findings were formally presented in a highly anticipated webinar on October 14, 2024.

    A Paradigm Shift in Gene Therapy: Introducing ISP-001

    ISP-001 stands as the first engineered B cell therapy to be tested in humans, marking a significant departure from traditional gene therapy approaches. Immusoft's proprietary Immune System Programming (ISP™) technology reprograms a patient's own B cells to become miniature "biofactories." These modified cells continuously produce therapeutic proteins, specifically enzymes that patients with MPS I lack due to genetic mutations.

    How Does ISP-001 Work?

    1. Cell Collection: The patient's B cells are harvested through a simple blood draw.

    2. Cell Programming: Using a non-viral gene delivery system, the B cells are reprogrammed to produce the missing enzyme.

    3. Cell Expansion: The modified B cells are multiplied in the laboratory to achieve a sufficient quantity for therapy.

    4. Reintroduction: The engineered cells are infused back into the patient, where they home to the bone marrow and lymphoid tissues.

    5. Continuous Protein Production: Once settled, these B cells produce and secrete the therapeutic enzyme over extended periods.

    This innovative method eliminates the need for harsh preconditioning regimens like myeloablation—often required in stem cell therapies—which can have toxic side effects. By avoiding these, ISP-001 offers a safer and more tolerable treatment option for patients.

    Remarkable Results from the Phase 1 Trial

    The Phase 1 trial, bolstered by an $8 million grant from the California Institute for Regenerative Medicine (CIRM), focuses on assessing the safety and efficacy of ISP-001 in patients with the Hurler-Scheie form of MPS I. This rare genetic disorder impairs the body's ability to break down certain sugars, leading to progressive tissue damage and a reduced life expectancy.

    Key Findings:

    • Safety Profile: No adverse events were reported, even without the use of preconditioning treatments.

    • Functional Improvements: The patient exhibited notable enhancements in daily living activities and experienced reduced pain levels.

    • Beyond Expectations: According to Dr. Paul Orchard, the trial's lead investigator from the University of Minnesota, the improvements were significant, especially considering the low dosage administered.

    The patient remained on standard care for part of the study, making the positive changes even more compelling. The trial is currently recruiting additional participants to further validate these findings.

    The Potential Impact on Rare Genetic Diseases

    Immusoft's engineered B cell therapy could revolutionize how we approach the treatment of rare genetic disorders. Traditional enzyme replacement therapies often require frequent hospital visits and offer only temporary relief. In contrast, ISP-001 aims to provide a long-term solution by enabling the patient's own cells to produce the necessary enzymes continuously.

    Advantages Over Traditional Therapies:

    • Non-Viral Delivery: Utilizing a non-viral gene delivery system allows for repeat dosing without the risks associated with viral vectors.

    • No Preconditioning Required: Eliminates the need for toxic chemotherapy regimens, improving patient safety and comfort.

    • Long-Term Efficacy: Engineered B cells can potentially produce therapeutic proteins over extended periods, reducing the frequency of treatments.

    A Glimpse Into the Future

    Immusoft has already received FDA Orphan Drug Designation and Rare Pediatric Disease Designation for ISP-001, potentially accelerating its development and approval process. Beyond MPS I, the company is exploring applications of its ISP™ technology for other lysosomal storage disorders, central nervous system diseases, and even certain cancers.

    CEO Sean Ainsworth's Vision:

    "The initial data not only met but exceeded our expectations. This could be a transformative approach for patients suffering from conditions previously deemed untreatable," stated Sean Ainsworth, CEO of Immusoft.

    Conclusion

    The positive data from Immusoft's Phase 1 trial of ISP-001 heralds a new era in the treatment of rare genetic diseases. By harnessing the body's own cells to produce therapeutic proteins safely and effectively, there's renewed optimism for patients and families affected by these challenging conditions. As further trials progress, the medical community eagerly anticipates the broader impact this technology may have on the future of gene therapy.