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Zenas BioPharma (ZBIO) investor relations material
Zenas BioPharma Study Result summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.INDIGO Phase III Trial Design and Objectives
The INDIGO Phase III trial was a multicenter, randomized, double-blind, placebo-controlled study evaluating obexelimab in IgG4-RD, enrolling 194 patients globally with balanced baseline characteristics.
The primary endpoint was time to first disease flare through week 52; key secondary endpoints included flare rate, remission, and rescue medication use.
Weekly subcutaneous dosing was used, and all participants could enter an open-label extension.
Efficacy Results
Obexelimab reduced the risk of IgG4-RD flare by 56% versus placebo (HR=0.443, p=0.0005), with 27% of obexelimab patients experiencing flares versus 55% on placebo.
All four key secondary endpoints were met, including time to flare, flare rate, complete remission, and reduced glucocorticoid rescue therapy use.
Over 70% of patients on obexelimab were protected from flares at 52 weeks.
Safety, Tolerability, and Subgroup Insights
Obexelimab showed a favorable safety profile, with lower rates of serious adverse events (10% vs. 19%) and infections compared to placebo; injection site reactions were similar between groups.
No new safety signals or increased risk of malignancy were observed.
No correlation was found between B-cell count and infection rates.
Flare events in the obexelimab arm leveled off after steroid taper, with separation from placebo seen post-taper.
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