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Published on 05/15/2026 at 09:25 pm EDT
Durable Responses to Low Dose Investigational Gene Therapy BB-301 in Patients with Oculopharyngeal Muscular Dystrophy with Dysphagia at 12-Months and 24-Months and Improved Depth of Response to High Dose BB-301
American Society of Cell & Gene Therapy May 15, 2026
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Oculopharyngeal Muscular Dystrophy (OPMD)
A rare autosomal-dominant degenerative muscle disorder
OPMD is a rare autosomal-dominant
degenerative muscle disorder, caused by a mutation in the poly(A)-binding protein nuclear 1 (PABPN1) gene
PABPN1 is a ubiquitous protein that
controls the length of mRNA poly(A) tails, mRNA export from the nucleus and alternative poly(A) site usage
OPMD ONSET: TYPICAL AGE IS 40s-50s
Eyelid drooping
(ptosis)
Difficulty swallowing
(dysphagia)
and choking during meals
Proximal limb weakness
Patients in North America, Europe and Israel
Progressive dysphagia impacts 97% of OPMD patients and is a severe, life-threatening complication of OPMD which can lead to chronic choking, malnutrition, aspiration
pneumonia and death
BB-301 is the only clinical-stage therapeutic in development designed to treat dysphagia in patients with OPMD
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OPMD weakens pharyngeal muscles, causing severe swallowing difficulties
(dysphagia)
Dysphagia leads to choking, malnutrition,
aspiration pneumonia1
Anatomical Structures of the Pharynx and BB-301 Injection Sites
BB-301 is designed to increase muscle mass and function, reducing dysphagia and improving patient outcomes
times per hour a healthy human will spontaneously swallow2
Middle
pharyngeal constrictor
Inferior
pharyngeal constrictor
BB-301
BB-301 is delivered to the pharyngeal constrictor muscles via direct intramuscular injection in the operating room to maximize local benefit and minimize systemic exposure
1. https://www.mayoclinic.org/diseases-conditions/dysphagia/symptoms-causes/syc-20372028 2. Rudney et al. (1995)
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BB-301: A Disease-Modifying Genetic Medicine for OPMD-Related Dysphagia
BB-301
AAV9-PL
Muscle
Specific Promoter
coPABPN1
shmiR-17
shmiR-13
BB-301 uses DNA-directed RNA interference (ddRNAi) to simultaneously
SILENCE + REPLACE
T H E
mutant gene
W I T H A
ITR
ITR
functional gene
potentially providing a permanent solution with a single administration
Replaces
coPABPN1 is
insensitive to
shRNA
with a healthy gene
Silences
mutant gene
Restoration of functional PABPN1
Strings-Ufombah, et al., Molecular Therapy: Nucleic Acids, Vol. 24, 67-78, June 2021
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Clinical Study Design and Key Efficacy Endpoints of the OPMD Natural History Study and the BB-301 Phase 1b/2a First-in-Human Study
OPMD Natural History Study
(26 weeks)
Dosing
(1 Day)
BB-301 Phase 1b/2a
Open-Label Dose Escalation Study (52 weeks)
5 Clinical follow-up visits during which pre-treatment baseline
assessments are carried out for each patient
Natural History Study patients enroll into the
Phase 1b/2a Study
4 Clinical follow-up visits during which post-treatment assessments
are carried out for each patient
23 patients have been enrolled in the OPMD Natural History Study to date
Natural History Study patients may be eligible for the pivotal study
All patients are blinded to their Total SSQ Scores and VFSS (TPR and Sequential Swallowing) assessment results, and the Central Reader for the VFSS assessments is blinded to the SSQ Scores for all patients
The BB-301 Phase 1b/2a Open-Label Dose Escalation Study can enroll up to 30 patients across 3 doses
The primary endpoint is safety, and secondary endpoints focus on qualitative and quantitative assessments of swallowing function.
There have been no treatment-related SAEs in any patient dosed with BB-301 to date.
Clinical results from the first 4 patients of Cohort 1 (1.2e13 vg/patient) who have completed the statistical follow-up period of 12-months post-BB-301 treatment are presented here.
Interim clinical results (3-months post-BB-301 treatment) from the first patient in Cohort 2 (1.8e13 vg/patient) are presented here.
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Efficacy assessments were derived from literature-based methods used to assess OPMD dysphagic symptom burden and include patient-reported outcomes, objective anatomic assessments, and functional parameters
The Natural History Study and BB-301 Phase 1b/2a Clinical Study include comprehensive assessments of dysphagia approximately every 3 months
The total dysphagic symptom burden experienced by OPMD patients has several known underlying contributors
Patient-Reported Oral-Pharyngeal Dysphagia via use of a clinically validated 17-question patient reported outcome instrument, Sydney Swallow Questionnaire (SSQ)
The serial assessments of dysphagia facilitated the creation of a multi-component responder analysis which incorporates multiple discrete assessments that holistically assess disease progression and treatment benefit of BB-301
Videofluoroscopic Swallowing Studies (VFSS) of liquids and solids for anatomic and functional assessments of:
Pharyngeal constrictor muscle function via assessment of Pharyngeal Area at Maximum Pharyngeal Constriction (PhAMPC)
Swallowing Efficiency via assessment of post-swallow accumulation of food/liquid material
Total Pharyngeal Residue (TPR)
Normalized Residue Ratio Scale, Valleculae (NRRSv)
Swallowing Effectiveness via assessment of frequency of pathologic sequential swallows (SEQ)
Functional swallowing capacity as measured by the Cold Water Timed Drinking Test (CWDT)
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TOTAL RESPONDER SCORING
M A X I M U M S C O R E
5 "Yes" values (one per
measure)
R E S P O N D E R S T A T U S
Achieving ≥2 "Yes" values
(≥40%) qualifies a patient
as a responder
Patient-Reported Oral-Pharyngeal Dysphagia (SSQ)
Criteria: SSQ score must not worsen after treatment
Pharyngeal Constrictor Muscle Function (PhAMPC)
Criteria: Statistical criteria* met in at least 1 of 4 swallowing tasks
Frequency of Pathologic Sequential Swallows (SEQ)
Criteria: At least a 30% decrease in sequential swallows post-treatment
Swallowing Efficiency (NRRSv or TPR)
Criteria: Statistical criteria* met in at least 1 of 8 swallowing tasks
Functional Swallowing Capacity (CWDT)
Criteria: Statistical criteria* met for the cold-water timed drinking test
*Formal statistical criteria were submitted to FDA over the course of the interactive process that supported the grant of Fast Track Designation for BB-301
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BB-301 Phase 1b Study: Cohort 1 Study Completers
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Completers are Patients that have reached the 12-month post-BB-301-treatment assessment time-point
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BB-301 Phase 1b Study: Long Term Efficacy Trends for Cohort 1
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Patient 1 of Cohort 1 experienced deepening improvements in both post-swallow pharyngeal residue and total dysphagic symptom burden 24-months post-BB-301 treatment
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BB-301 Phase 1b Study: Cohort 1 Dose vs. Cohort 2 Dose
Preliminary comparisons of efficacy trends
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Significant Improvements in Throat Closure, Post-Swallow Pharyngeal Residue, and Total Dysphagic
Symptom Burden Observed Following High Dose BB-301 Treatment
Patient A (Cohort 1) and Patient B (Cohort 2) had comparable baseline functional and anatomical deficits.
Patient B (Cohort 2) was safely treated with BB-301.
When comparing 3-month post-treatment data for both Patient A and Patient B, Patient B demonstrated improved depth of response to high dose BB-301.
Preliminary interim clinical results demonstrate improved depth of response to high dose BB-301 at the 3-month post-treatment timepoint
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P H A S E 1 b / 2 a C L I N I C A L E F F I C A C Y
ROBUST RESPONSES TO BB-301 IN COHORT 1 AND COHORT 2
MEANINGFUL IMPROVEMENTS POST-BB-301 ADMINISTRATION ACROSS KEY ENDPOINTS
Improved patient reported outcome
Improved throat closure
Reduced pharyngeal residue
Improved functional swallowing capacity
S A F E T Y
NO TREATMENT-RELATED SEVERE
ADVERSE EVENTS
R E G U L A T O R Y
FAST TRACK DESIGNATION (FDA)
ORPHAN DRUG DESIGNATION (FDA &
EMA)
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Disclaimer
Benitec Biopharma Inc. published this content on May 16, 2026, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on May 16, 2026 at 01:24 UTC.