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Expert Interview

Slingshot members are talking to an expert! The topic is:

Examining the Phase 1b Interim Results of Zumilokibart (APG777) in Mild-to-Moderate Asthma from Apogee Therapeutics

Ticker(s): APGE

Who's the expert?

Institution: Institute For Asthma & Allergy

  • Director of the Center for Urticaria and Angioedema at the Institute For Asthma & Allergy.
  • Manages 200 pateints for peanut allergies
  • Also maintains a part-time faculty position at the Johns Hopkins.

Interview Questions
Q1.

  • IL-13 is a well-established target in asthma, yet prior anti–IL-13 programs have produced mixed clinical results. Based on these interim data, what differentiates zumilokibart’s profile and how might half-life extension change expectations for this mechanism?

  • Added By: slingshot_insights
    Q2.

    • In this Phase 1b study, zumilokibart achieved a mean absolute FeNO reduction of 45 ppb, corresponding to a 60% decrease from baseline after a single dose. From a clinical perspective, how meaningful is this magnitude of FeNO suppression for patients with Type 2 asthma, particularly in relation to future exacerbation risk?

    Added By: slingshot_insights
    Q3.

    • With plans to advance zumilokibart into the ASPIRE asthma trial and expand into broader inflammatory and immunology indications, how do you see this therapy fitting into the evolving asthma treatment algorithm over the next five to ten years, particularly relative to established biologics such as dupilumab?

    Added By: slingshot_insights
    Q4.

    • This trial enrolled patients with baseline FeNO ≥25 ppb, representing an enriched Type 2 inflammation population. How does this biomarker-driven approach improve the likelihood of demonstrating clinical benefit, and could it become standard practice in future asthma trials?

    Added By: slingshot_insights
    Q5.

    The study demonstrated durable FeNO suppression through 16 weeks in all patients and through 32 weeks in those with available follow-up. How important is this level of durability in shaping the future asthma treatment paradigm, especially with respect to the feasibility of 3- or 6-month dosing intervals?

    Added By: slingshot_insights
    Q6.

    One of the major challenges in asthma management is treatment adherence. How could the possibility of quarterly or twice-yearly dosing change patient behavior, persistence on therapy, and overall disease control compared with currently available biologics?

    Added By: slingshot_insights
    Q7.

    Zumilokibart was well tolerated, with no serious adverse events, no Grade 3 or higher treatment-emergent adverse events, and no anti-drug antibodies observed. In a chronic disease like asthma, how critical is this safety profile when evaluating a biologic for long-term maintenance therapy?

    Added By: slingshot_insights
    Q8.

  • Positive trends were observed in FEV1 alongside improvements across Type 2 biomarkers. How should clinicians interpret these early pharmacodynamic signals in a Phase 1b study, and what endpoints will be most important to confirm in later-stage trials?

  • Added By: slingshot_insights

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