Regulatory News:
Ipsen (Paris:IPN) (Euronext: IPN; ADR: IPSEY) a global biopharmaceutical
group, today announced that its partner Roche disclosed results of five
Phase III 24-week studies for taspoglutide for type 2 diabetes at the
American Diabetes Association’s (ADA) 70th Annual Scientific
Sessions. Taspoglutide, the first once weekly glucagon-like peptide-1
(GLP-1) analogue based on a human sequence, originating from Ipsen’s
research is developed by Roche. This compound is similar to the natural
hormone GLP-1 which has a key role in blood sugar regulation.
Three head-to-head comparisons against exenatide, sitagliptin and
insulin glargine found that treatment with taspoglutide showed
comparable or greater reductions in HbA1c levels with a low risk of
hypoglycemia, resulted in more patients reaching the ADA target for
HbA1c of <7.0%, and produced clinically meaningful weight loss.
Two additional Phase III studies showed that taspoglutide, when used
alone or added to metformin (the most common first-line treatment for
type 2 diabetes), significantly reduced HbA1c and body weight with low
risk of hypoglycemia. Further studies suggest that taspoglutide may help
restore a normal insulin response as well as potentially preserving
insulin-producing beta cells and subsequently protect them from cell
death.
In the studies, taspoglutide was administered once a week with a
pre-filled, disposable syringe with a small-gauge needle.
The most common adverse events seen with taspoglutide based on the
24-week data are related to gastrointestinal tolerability and injection
site reactions. Nausea and vomiting were of mild to moderate intensity,
generally occurred early in treatment on the day of injection and
predominantly as a single episode. Roche also recently announced the
implementation of a risk mitigation plan in the Phase III programme
designed to identify patients at potential risk of hypersensitivity
reactions. While the occurrence of hypersensitivity reactions reported
as related to taspoglutide is higher than expected for the study
population in the Phase III trials, the incidence remains uncommon (<
1%).
Jean-Luc Bélingard, Chairman and Chief Executive Officer of the Ipsen
Group, stated: "These 5 phase III clinical trials have clearly
demonstrated the marked and reproducible efficacy profile of
taspoglutide in blood glucose control and body weight loss. The T-emerge
programme provides the medical community with extensive data on the
competitive positioning of this promising compound in the treatment of
type 2 diabetes. We are confident that the ongoing clinical programme
will further establish taspoglutide as a potential best-in-class with
the added convenience of a once-a-week injection.”
About the T-emerge Programme
The T-emerge Phase III clinical trial programme is designed as
multicenter, multi-country, randomized, controlled (active or placebo),
double-blind and open studies. Over 6,000 patients have been enrolled in
the eight studies that comprise the T-emerge programme. Studies include
two parallel taspoglutide arms including 10 mg once weekly and 10 mg
once weekly titrated up to 20 mg once weekly after four weeks. Four of
the eight studies have active comparators, including exenatide,
sitagliptin, insulin glargine and pioglitazone.
Unless noted in the tables below, the T-emerge studies presented at ADA
included two parallel taspoglutide arms with 10 mg and 20 mg doses
(starting at 10 mg and titrated up after four weeks). Pre-specified
analyses were conducted after 24 weeks of treatment. Measures refer to
changes from baseline. All T-emerge Phase III studies continue for at
least 52 weeks and some for up to three years.
Results of five Phase III 24-week T-Emerge studies presented at ADA
T-emerge 1
Number: 399-PP: "Taspoglutide, a Once-Weekly Human GLP-1 Analog,
as Monotherapy Significantly Lowers A1c and Body Weight in Patients with
Type 2 Diabetes (T2D)”
This study evaluated the efficacy and safety profile of once-weekly
taspoglutide used alone in treatment-naïve patients whose diabetes was
uncontrolled after diet and exercise. 373 patients with HbA1c = 6.5 and
=10.0% were randomized into three groups and given either taspoglutide
10 mg, taspoglutide 20 mg, or placebo.
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Efficacy summary at 24-weeks
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Taspoglutide 10 mg (N=112)
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Taspoglutide 20 mg (N=127)
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Placebo (N=115)
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Baseline HbA1c
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7.5%
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7.7%
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7.6%
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Primary endpoint: Average HbA1c change from baseline (p<0.001)
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-1.01%
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-1.18%
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-0.09%
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% of patients who met target HbA1c of <7%*
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65%
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71%
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20%
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Baseline weight (kg)
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88 kg
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85 kg
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87 kg
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Average body weight change from baseline (p<0.05)
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-1.5 kg
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-2.3 kg
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-1.2 kg
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Most common adverse events at 24-weeks
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Taspoglutide 10 mg (N=116)
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Taspoglutide 20 mg (N=129)
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Placebo (N=123)
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Nausea
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25.9% (30)
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31% (40)
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4.1% (5)
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Vomiting
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17.2% (20)
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17.8% (23)
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-
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Injection site reactions
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28.5% (33)
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27.1% (35)
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1.6% (2)
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Hypoglycemia
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Reported Confirmed (<55 mg/dL)
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5.2% (6)
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3.9% (5)
0.8% (1)
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0.8% (1)
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% discontinuation due to GI adverse events
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3.4% (4)
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4.7% (6)
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*excluding patients who entered the study with HbA1c <7.0% at baseline
T-emerge 2
Number: 62-OR: "Superior Glycemic Control with Taspoglutide, a
Once-Weekly Human GLP-1 Analog, Compared With Twice Daily Exenatide in
Type 2 Diabetes (T2DM) Inadequately Controlled on Oral Agents: The
T-emerge 2 Trial” Saturday, June 26, 8:00 am EST
The study compared the efficacy and safety profile of once-weekly
taspoglutide to twice-daily exenatide (10 mcg) in patients inadequately
controlled on metformin +/- thiazolidinedione. 1,189 patients with HbA1c
= 7.0% and =10% were randomized into three groups and given taspoglutide
10 mg, taspoglutide 20 mg, or exenatide, in addition to their current
regimens.
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Efficacy summary at 24-weeks
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Taspoglutide 10 mg + metformin +/- thiazolidinedione (N=399)
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Taspoglutide 20 mg + metformin +/- thiazolidinedione (N=398)
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Exenatide 10 mcg + metformin +/- thiazolidinedione (N=392)
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Baseline HbA1c
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8.1%
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8.1%
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8.1%
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Primary endpoint: Average HbA1c change from baseline (p<0.001)
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-1.24%
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-1.31%
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-0.98%
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% of patients who met target HbA1c of <7%*
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62%
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63%
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46%
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Baseline weight (kg)
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95 kg
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93 kg
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95 kg
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Average body weight change from baseline (p<0.05)
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-1.6 kg
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-2.3 kg
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-2.3 kg
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Most common adverse events at 24-weeks
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Taspoglutide 10 mg (N=394)
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Taspoglutide 20 mg (N=394)
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Exenatide 10 mcg (N=385)
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Nausea
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40.1% (158)
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47.2% (186)
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29.9% (115)
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Vomiting
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20.8% (82)
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23.6% 93)
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10.9% (42)
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Injection site reactions
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24.7% (97)
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31.7% (125)
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1.4% (5)
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Hypoglycemia
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Reported Confirmed (<55 mg/dL)
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8.6% (34)
0.5% (3)
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9.9% (39)
2.3% (5)
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9.9% (38)
1.8% (3)
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% discontinuation due to GI adverse events (p<0.001)
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4.1% (16)
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7.6% (30)
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6.5% (25)
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T-emerge 2 subset analysis, number: 719-P: A meal tolerance test
was conducted in a subset of 148 patients, randomized into three groups
and given either taspoglutide 10 mg, taspoglutide 20 mg or exenatide.
Post-meal glucagon and post-meal glucose were measured at baseline and
week 24. Patients in all three groups experienced a similar average
reduction in post-meal glucagon (-4.5 for taspoglutide 10 mg, -5.0 for
taspoglutide 20 mg, -4.3 for exenatide) and similar improvement in
post-meal glucose (-32.1, -35.3, -31.7, respectively). Significantly
increased insulin was observed in patients who received taspoglutide 10
mg (23.1) and taspoglutide 20 mg (7.3), while increase in insulin was
not significant for exenatide (-10.1). Results reflect 95% confidence
interval.
T-emerge 2: 52 week data
Data from the 52-weeks trials from T-emerge 2 and other T-emerge studies
are expected soon and will be published at a future scientific congress.
Roche believes that these 52-week data will help us better inform the
safety and efficacy profile of taspoglutide in diabetes.
T-emerge 4
Number: 58-OR: "Once-weekly Taspoglutide, a Human GLP-1 Analog,
is Superior to Sitagliptin in Improving Glycemic Control and Weight Loss
in Patients with Type 2 Diabetes (T2D): Results from the T-emerge 4
Trial,” Saturday, June 26, 8:00 am EST
This study compared the efficacy and safety profile of once-weekly
taspoglutide to daily oral sitagliptin in patients whose diabetes was
inadequately controlled on metformin. 666 patients with HbA1c =7.0% and
=10% were randomized into four groups and given either taspoglutide10mg,
taspoglutide 20mg, sitagliptin, or placebo, in addition to their current
regimens.
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Efficacy summary at 24-weeks
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Taspoglutide 10 mg + metformin (N=182)
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Taspoglutide 20 mg + metformin (N=187)
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Sitagliptin 100 mg + metformin (N=177)
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Placebo (N=90)
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Baseline HbA1c
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8.0%
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8.0%
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7.9%
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8.0%
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Primary endpoint: Average HbA1c change from baseline (p<0.001)
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-1.23%
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-1.30%
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-0.89%
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-0.10%
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% of patients who met target HbA1c < 7% (p<.001)
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64%
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65%
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50%
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14%
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Baseline weight (kg)
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94 kg
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92 kg
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93 kg
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91 kg
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Average body weight change from baseline
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-1.8 kg
(p<0.01 vs. placebo) (p<0.05 vs.
sitagliptin)
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-2.6 kg
(p<0.001 vs. placebo and vs. sitagliptin)
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-0.9 kg
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-0.5 kg
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Most common adverse events at 24-weeks
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Taspoglutide 10 mg (N=187)
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Taspoglutide 20 mg (N=192)
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Sitagliptin 100 mg (N=184)
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Placebo (N=93)
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Nausea
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43.9% (82)
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42.2% (81)
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10.3% (19)
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8.6% (8)
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Vomiting
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21.4% (40)
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28.1% (54)
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4.3% (8)
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1.1% (1)
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Injection site reactions
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21.9% (41)
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50.4% (77)
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9.2% (17)
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7.7% (7)
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Hypoglycemia
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Reported Confirmed (<55 mg/dL)
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7% (13)
-
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4.7% (9)
0.5% (1)
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5.4% (10)
1.1% (2)
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1.1% (1)
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% discontinuation due to GI adverse events (p<0.001)
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12.3% (23)
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8.3% (16)
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0.5% (1)
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-
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T-emerge 5
Number: 60-OR: "Taspoglutide, a Once-Weekly Human GLP-1 Analog,
Provides Comparable Glycemic Control to Insulin Glargine, with Superior
Weight Loss and Less Hypoglycemia in Type 2 Diabetes (T2D): A Phase III,
Open-Label Trial,” Saturday, June 26, 8:00 am EST
The study compared the efficacy and safety profile of once-weekly
taspoglutide to daily insulin glargine in patients whose diabetes was
inadequately controlled on metformin + sulfonylurea. 1,049 patients with
HbA1c = 7.0% and = 10.0% were randomized into three groups and given
either taspoglutide 10 mg, taspoglutide 20 mg, or insulin glargine in
addition to their current regimens. Sulfonylurea was withdrawn five days
prior to randomization.
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Efficacy summary at 24-weeks
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Taspoglutide 10 mg + metformin (N=361)
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Taspoglutide 20 mg + metformin (N=348)
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Insulin glargine + metformin (N=319)
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Baseline HbA1c
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8.2%
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8.3%
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8.3%
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Primary endpoint: Average HbA1c change from baseline (p<0.001)
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-0.77%
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-0.98%
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-0.84%
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% of patients who met target HbA1c of < 7%
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34%
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41%
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28%
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Baseline weight (kg)
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90 kg
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91 kg
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91 kg
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Average body weight change from baseline (p<0.001)
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-3.3 kg
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-4.1 kg
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-0.4 kg
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Most common adverse events at 24-weeks
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Taspoglutide 10 mg (N=364)
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Taspoglutide 20 mg (N=351)
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Insulin glargine (N=322)
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Nausea
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39.3% (143)
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45.3% (159)
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1.9% (6)
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Vomiting
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19.8% (72)
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22.8% (80)
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1.2% (4)
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Injection site reactions
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17.8% (65)
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20.5% (72)
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0.3% (1)
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Hypoglycemia
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Reported Confirmed (<55 mg/dL)
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4.9% (18)
0.3% (1)
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6.0% (21)
0.9% (3)
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17.4% (56)
3.1% (10)
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% discontinuation due to GI adverse events
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4.4% (16)
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6.6% (23)
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-
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T-emerge 7
Number: 585-P: "Once-Weekly Taspoglutide, a Human GLP-1 Analog,
is Superior to Placebo in Improving Glycemic Control and Body Weight
Loss in Obese Patients with Type 2 Diabetes (T2D) Inadequately
Controlled with Metformin Monotherapy”
This study evaluated efficacy and safety profile of once-weekly 20 mg
taspoglutide used alone in obese patients whose diabetes was
uncontrolled on metformin alone. 305 obese patients with HbA1c = 6.5%
and = 9.5% were randomized into two groups and given taspoglutide 20 mg
or placebo in addition to their current regimens.
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Efficacy summary at 24-weeks
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Taspoglutide 20mg + metformin (N=149)
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Placebo + metformin (N=143)
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Baseline HbA1c
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7.5%
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7.5%
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Primary endpoint: Average HbA1c change from baseline (p<0.001)
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-0.81%
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-0.09%
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% of patients who met target HbA1c of < 7% *
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53%
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21%
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Baseline weight (kg)
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104 kg
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101 kg
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Average body weight change from baseline (p <0.01)
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-3.2 kg
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-1.9 kg
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Most common adverse events at 24-weeks
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Taspoglutide 20mg + metformin (N=154)
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Placebo + metformin (N=150)
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Nausea
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35.1% (54)
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5.3% (8)
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Vomiting
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24% (37)
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3.3% (5)
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Injection site AEs
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50.6% (78)
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8.1% (12)
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Hypoglycemia Confirmed (=55 mg/dL)
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9.7% (15)
-
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2.7% (4)
0.7 (1)
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% discontinuation due to GI adverse events
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3.9% (6)
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-
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*excluding patients who entered the study with HbA1c <7.0% at baseline
Full efficacy and safety data for each study will be presented at ADA.
Additional taspoglutide posters to be presented at the meeting:
"Effect of Taspoglutide, a Human GLP-1 Analog, on Insulin Secretion in
Patients with Type 2 Diabetes (T2D),” Poster, Monday, June 28 12 noon,
number: 588-P
"Taspoglutide, a Novel Human Once-Weekly GLP-1 Analog, Improves ?-Cell
Survival In ZDF Rats,” Poster, Monday, June 28 12 noon, number 544-P
About Taspoglutide (R1583)
Taspoglutide was selected from a family of human once-weekly long-acting
glucagon-like peptide-1 (GLP-1) analogues with structural modifications
which confer intrinsic controlled release properties. Ipsen is the
originator of the concept of matrix free sustained release formulation
applied to therapeutic peptides and proteins. Taspoglutide is being
developed, by Roche, as a novel and innovative treatment for patients
with type 2 diabetes mellitus, the fourth leading cause of death in most
developed countries. The structure of the molecule is similar to that of
the natural human hormone GLP-1, and has the potential for intervals of
up to two weeks in between administration without the use of a matrix.
About the agreement
Roche exercised its licensing option for taspoglutide from Ipsen in 2006
and acquired exclusive worldwide rights to develop and market
taspoglutide, except in Japan where these rights are shared with Teijin
and in France where Ipsen has elected to retain co-marketing rights.
About Ipsen
Ipsen is a global biopharmaceutical group with total sales in excess of
1 billion euros in 2009, and total worldwide staff of more than 4,400.
Its strategy is based on fast growing specialty care drugs in oncology,
endocrinology, neurology and hematology, and primary care drugs, which
significantly contribute to research financing. This strategy is also
supported by an active policy of partnerships. Ipsen’s specific Research
& Development (R&D) centers and peptide & protein engineering platform
give the Group a competitive edge. Nearly 900 people are dedicated to
the discovery and development of innovative drugs for patient care.
Nearly 900 people are dedicated to the discovery and development of
innovative drugs for patient care. In 2009, R&D spend reached close to
€200 million, representing more than 19% of total Group sales. Ipsen’s
shares are traded on Segment A of Euronext Paris (stock code: IPN, ISIN
code: FR0010259150). Ipsen’s shares are eligible to the "Service de
Règlement Différé” ("SRD”) and the Group is part of the SBF 120 index.
Ipsen has implemented a Sponsored Level I American Depositary Receipt
(ADR) program, which trade on the over-the-counter market in the United
States under the symbol IPSEY. For more information on Ipsen, visit our
website at www.ipsen.com.
Ipsen’s Forward Looking Statement
The forward-looking statements, objectives and targets contained herein
are based on the Group’s management strategy, current views and
assumptions. Such statements involve known and unknown risks and
uncertainties that may cause actual results, performance or events to
differ materially from those anticipated herein. Moreover, the targets
described in this document were prepared without taking into account
external growth assumptions and potential future acquisitions, which may
alter these parameters. These objectives are based on data and
assumptions regarded as reasonable by the Group. These targets depend on
conditions or facts likely to happen in the future, and not exclusively
on historical data. Notably, future currency fluctuations may negatively
impact the profitability of the Group and its ability to reach its
objectives. Actual results may depart significantly from these targets
given the occurrence of certain risks and uncertainties. The Group does
not commit nor gives any guarantee that it will meet the targets
mentioned above. Furthermore, the Research and Development process
involves several stages each of which involve the substantial risk that
the Group may fail to achieve its objectives and be forced to abandon
its efforts with regards to a product in which it has invested
significant sums. Therefore, the Group cannot be certain that favourable
results obtained during pre-clinical trials will be confirmed
subsequently during clinical trials, or that the results of clinical
trials will be sufficient to demonstrate the safe and effective nature
of the product concerned. The Group also depends on third parties to
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