Celgene Corporation (NASDAQ:CELG) announced clinical data from an
investigational Phase IIb, double-blind, placebo-controlled study of
apremilast (CC-10004) in patients with moderate-to-severe plaque-type
psoriasis (PSOR-005). This was a 352-patient, multi-center study in
which patients received either 10mg, 20mg or 30mg of apremilast twice
per day (BID), or placebo.
Forty-one percent of patients treated with 30mg of oral apremilast BID
achieved a PASI-75 after 16 weeks (p<0.001), compared to a 6% of
patients receiving placebo. In addition, a dose-dependent effect was
observed between the active therapy arms of the study. Specifically, 29%
of patients receiving 20mg BID of apremilast achieved a PASI-75
(p<0.001), while 11% of patients receiving 10mg BID of apremilast
achieved a PASI-75.
"These results are extremely important,” said Kim Papp, M.D., Ph.D. of
Probity Medical Research, Canada. "The results suggest apremilast is
active and may meet a significant unmet medical need: a new oral
treatment for patients with moderate-to-severe psoriasis.”
In general, common treatment-emergent adverse events were self-limited
and manageable and included headache (32% of patients in the 30mg BID
apremilast arm vs. 14% in the placebo arm), nausea (18% vs. 8%,
respectively), upper respiratory tract infection (16% vs. 6%,
respectively) and diarrhea (14% vs. 5%, respectively). Overall
infections were 48% with 30mg BID compared to 33% in the placebo group,
with 1% of patients in both the 30mg BID apremilast and placebo arms
discontinuing treatment due to infection. In total, discontinuations due
to adverse events were 14% for the 30mg BID apremilast arm and 6% for
placebo. Most treatment emergent adverse events were mild to
moderate (>96%), with no serious adverse events related
to apremilast reported in this study.
"The 30mg bid dose of apremilast achieving a PASI-75 rate of 41%,
coupled with data from the earlier psoriatic
arthritis trial, supports
our move to pivotal programs in moderate-to-severe psoriasis
and psoriatic arthritis,” said Randall Stevens, MD, Vice President and
Clinical Head, Inflammation and Immunology at Celgene. "Importantly, the
results of this study suggest that apremilast may become a new oral
therapy for psoriasis with a unique balance of safety, tolerability and
efficacy in the range of biologic therapies.”
About Psoriasis
Psoriasis is an immune-mediated, non-contagious chronic inflammatory
skin disorder of unknown cause. The disorder is a chronic recurring
condition which varies in severity from minor localized patches to
complete body coverage. Plaque psoriasis is the most common type of
psoriasis. About 80 percent of people who develop psoriasis have plaque
psoriasis, which appears as patches of raised, reddish skin covered by
silvery-white scales. These patches, or plaques, frequently form on the
elbows, knees, lower back, and scalp. Psoriasis occurs nearly equally in
males and females. Recent studies show that there may be an ethnic link.
Psoriasis is believed to be most common in Caucasians and slightly less
common in other ethnic groups. Worldwide, psoriasis is most common in
Scandinavia and other parts of northern Europe. About 10 percent to 30
percent of patients with psoriasis also develop a condition called
psoriatic arthritis, which causes pain, stiffness and swelling in and
around the joints.
About Apremilast
Apremilast is a novel, oral pluripotent immunomodulator that exhibits
anti-inflammatory activities through the modulation of multiple
pro-inflammatory mediators through PDE4 inhibition. Targeted
inflammatory mediators and cell types affected by the pluripotent
mechanism of action of apremilast include: inhibition of production of
TNF-a, IFN-g, IL-12, IL-23, IL-2, IL-5, IL-17, CXCL9 (MIG), CXCL10
(IP-10), CCL2 (MCP-1), CCL3 (MIP-1a), IL-8, LTB4, and iNOS; inhibition
of activation of T and NK cells, monocytes, dendritic cells, synovial
macrophages, neutrophils, chondrocytes, keratinocytes, and endothelial
cells; as well as, the unique inhibition of joint pannus formation and
cartilage erosion. Apremilast is the lead investigational
anti-inflammatory compound in the Celgene Immunology and Inflammation
Franchise, and is in phase II clinical development for the treatment of
moderate to severe psoriasis, psoriatic arthritis and in proof of
concept trials in other debilitating inflammatory diseases.
About Celgene
Celgene Corporation, headquartered in Summit, New Jersey, is an
integrated global pharmaceutical company engaged primarily in the
discovery, development and commercialization of innovative therapies for
the treatment of cancer and inflammatory diseases through gene and
protein regulation. For more information, please visit the Company's
website at www.celgene.com.
This release contains forward-looking statements which are subject to
known and unknown risks, delays, uncertainties and other factors not
under the Company's control, which may cause actual results, performance
or achievements of the Company to be materially different from the
results, performance or other expectations expressed or implied by these
forward-looking statements. These factors include results of current or
pending research and development activities, actions by the FDA and
other regulatory authorities, and other factors described in the
Company's filings with the Securities and Exchange Commission such as
our 10K, 10Q and 8K reports.