GHENT, Belgium, 4 July 2013 - Ablynx (Euronext Brussels: ABLX) today announced that it has initiated 
   two additional Phase I studies with its anti-RSV Nanobody®, ALX-0171, with the goal of commencing 
   paediatric development during the second half of 2014. Respiratory Syncytial Virus (RSV) is a respiratory 
   virus that infects the lungs and respiratory tract and is the most common cause of bronchiolitis and 
   pneumonia in children under one year of age. 
    
   The additional Phase I studies are being performed to determine the appropriate dosing regimen in the 
   subsequent paediatric development of the Nanobody, and will include a safety study in adults with 
   hyper-responsive airways and a local and systemic pharmacokinetic (PK) study in healthy volunteers. 
   The results of both Phase I studies are expected during the first half of 2014.  
    
   Bronchoconstriction (narrowing of the airways in the lungs) induced by ALX-0171 inhalation has not 
   been observed in healthy adult volunteers. A phase I study in adults with hyper-responsive airways will 
   further evaluate the potential occurrence of bronchoconstriction following single escalating doses of 
   ALX-0171 as well as repeated inhalation of ALX-0171. If indicated, the prevention or reversion of 
   bronchoconstriction, involving the administration of a standard bronchodilator already often used in the 
   management of RSV infection, will be assessed as well. This single-centre, open-label study is expected 
   to recruit 24 subjects. 
    
   In addition, Ablynx has initiated a Phase I study in healthy male volunteers to assess the local and 
   systemic pharmacokinetics of single and repeated daily inhalations of ALX-0171, and the systemic 
   pharmacokinetics of a single intravenous (iv) injection of ALX-0171. This Phase I study is expected to 
   recruit 41 subjects and will examine doses of 0.3 mg/kg (iv) and fixed doses of 200 mg (inhalation).  
    
   Dr Edwin Moses, Chairman and CEO of Ablynx, commented: 
   “We are very pleased to move forward with our first inhaled Nanobody, which has the potential to 
   become a first-in-class therapeutic to treat RSV infection in young children, an area with high unmet 
   medical need. These additional studies will provide us with an appropriate clinical package for ALX-0171 
   that should allow the start of a Phase II study in infants during the second half of 2014.” 
  About ALX-0171 
   Ablynx’s innovative technology platform, which enables unique and flexible drug formatting, resulted in 
   the creation of a trivalent Nanobody, ALX-0171. The physical robustness allows fast delivery directly into 
   the lungs, i.e. the site of infection, via nebulisation. The trivalent structure allows for increased activity 
   at the target, which enables neutralisation of virus replication in the lungs. As such, Ablynx was able to 
   generate a therapeutic product that works specifically at the site of infection. In contrast, it is very 
   difficult to nebulise classical monoclonal antibodies. As a result, these can currently only be 
   administered systemically and it has proved very difficult to deliver sufficient antibody to the infection 
   site to achieve a therapeutic effect. A Phase I safety study in healthy male volunteers demonstrated that 
   single and multiple inhalations of the Nanobody were well tolerated and no dose-limiting toxicity or 
   treatment emergent immunogenicity was observed. Furthermore, ALX-0171 had no clinically relevant 
   effect on lung function, no signs of bronchoconstriction were observed, and the Nanobody had the 
   opportunity for once-daily dosing.  |