Soterios' Phase 2 Alopecia Cream Challenges JAK Dominance

7 June 2024
Soterios Pharma, a biotechnology company based in the United Kingdom, is advancing to phase 3 clinical trials for its alopecia areata cream, STS-01, after promising results in mid-stage testing. This progress marks a significant milestone for the non-steroidal topical treatment aimed at addressing this hair loss condition.

David Fleet, CEO of Soterios, expressed confidence in the product's future development. He stated, "This data gives us clarity and confidence in moving into late-stage clinical development for this product." The statement highlights the positive outcomes from the phase 2 clinical trial, which focused on testing the efficacy and safety of STS-01.

The phase 2 study involved 158 participants with mild to moderate alopecia areata. They were divided into groups receiving one of four concentrations of STS-01, ranging from 0.25% to 2%, or a placebo. Over a 24-week period, these treatments were applied to evaluate their impact on the severity of the condition. The 1% dose emerged as particularly effective, with approximately 76% of this cohort showing a significant improvement—over 30% reduction in the severity of alopecia.

While the detailed results for the other concentrations have not yet been disclosed, Soterios plans to present the full data at an upcoming medical conference. However, the company did reveal that total hair regrowth was observed in 18% of the 1% dose group and 27% of the 2% dose group. In contrast, the placebo group saw only a 3% rate of total hair regrowth.

Importantly, STS-01 demonstrated a strong safety profile. According to the company, the treatment was well tolerated with no major adverse events reported.

Soterios has ambitious plans for STS-01, aiming to position it as the first approved therapy for mild to moderate alopecia areata. This condition affects more than half of the estimated 800,000 individuals in the United States who suffer from the autoimmune disease that leads to hair loss. The company sees a significant unmet need in this patient population that STS-01 could potentially fulfill.

Currently, the market for alopecia areata treatments includes medications like Eli Lilly and Incyte's Olumiant, approved for severe cases characterized by 50% or greater scalp hair loss in adults, and Pfizer's Litfulo, approved for adolescents. These treatments are categorized as JAK inhibitors and, while effective, come with concerns related to their side effects and cost.

Soterios is positioning STS-01 as a potentially safer and more accessible alternative to these existing treatments. The company suggests that the broader application of JAK inhibitors may be limited due to their side effect profiles and high costs, making STS-01 a valuable addition to the therapeutic landscape for alopecia areata.

In summary, Soterios Pharma's STS-01 is poised to enter the final phase of clinical development, with the potential to become a pioneering treatment for mild to moderate alopecia areata. The phase 2 trial results have laid a strong foundation for the upcoming studies, and the biotech community is keenly awaiting further updates on this promising therapy.

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