ADVEXIN(R) Shows Statistically Significant Six-Month and Overall Survival Benefit as Compared to Methotrexate in Prospectively Defined Biomarker Patient Population
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Introgen Therapeutics, Inc. (NASDAQ:INGN), a developer of targeted
molecular therapies for cancer, today reported additional efficacy data
from the company’s recent regulatory filings
seeking approval of ADVEXIN® (p53 tumor
suppressor therapy) in the United States and Europe. These findings
resulted from supportive statistical analyses based on data from the
pivotal Phase 3 clinical trial of ADVEXIN in patients with recurrent,
refractory head and neck cancer. These analyses (Cox Regression)
evaluated the length of survival of patients in the biomarker population
receiving ADVEXIN as compared to patients in the biomarker population
receiving methotrexate. Results showed that patients with p53 tumor
profiles positive for ADVEXIN efficacy demonstrated statistically
significant increased survival benefit at both six months (p<0.0051)
and overall (p = 0.0265) following treatment with ADVEXIN. Additionally,
these analyses showed that for patients with tumor p53 profiles negative
for ADVEXIN efficacy, there is a statistically significant increased
survival benefit associated with methotrexate treatment. These data were
presented at the American Association for Cancer Research (AACR)
Centennial Conference on Translational Cancer Medicine 2008: Cancer
Clinical Trials and Personalized Medicine.
In conjunction with previously reported findings, Introgen believes
these latest results extend and confirm that ADVEXIN, as compared to
methotrexate, achieved statistically significant benefits in tumor
response rate, six-month survival, and overall survival in the study’s
prospectively defined p53 biomarker patient population. Accordingly,
ADVEXIN successfully achieved both the study’s
primary and secondary efficacy endpoints in the biomarker patient
population which were prospectively designated with the United States
Food and Drug Administration (FDA). The primary efficacy endpoint of the
Phase 3 study was survival in either the intent-to-treat (ITT) or
biomarker patient population. The secondary efficacy endpoint was tumor
response in either the ITT or biomarker patient population.
"These findings corroborate and further
strengthen previously announced results of our Phase 3 study which
demonstrated ADVEXIN’s positive impact on
survival in patients with biomarker profiles positive for efficacy,”
said Robert E. Sobol, M.D., senior vice president, Medical and
Scientific Affairs at Introgen. "We look
forward to working with the FDA and European Medicines Evaluation Agency
in connection with the approval process of ADVEXIN for patients with
recurrent, refractory head and neck cancer.”
The results of the statistical analyses presented at the AACR conference
are included in the ADVEXIN Biologics License Application (BLA) to the
FDA and the ADVEXIN Marketing Authorization Application (MAA) to the
European Medicines Evaluation Agency (EMEA).
"These analyses were conducted as part of
Introgen’s recent regulatory approval
application submission processes in the U.S. and Europe and add to the
previously reported findings of ADVEXIN efficacy,”
stated Max Talbot, Ph.D., Introgen’s senior
vice president, Worldwide Commercial Development. "We
will continue to identify and utilize relevant opportunities, including
medical journals and scientific conferences, to publish and present more
detailed findings from our regulatory submissions.”
Previously announced results from Introgen’s
Phase 3 trial of ADVEXIN include:
A complementary statistical analysis evaluating the percentage of
patients surviving at six months demonstrated the clinical benefit of
ADVEXIN in comparison to methotrexate. At the six month survival
endpoint, 67% of ADVEXIN treated patients with tumor p53 profiles
positive for ADVEXIN efficacy were alive compared to only 39% of the
methotrexate patients with this tumor p53 profile. This difference was
statistically significant (p = 0.0434).
ADVEXIN significantly increased survival in patients with tumor p53
profiles positive for ADVEXIN efficacy compared to patients with tumor
p53 profiles negative for ADVEXIN efficacy (7.2 months vs. 2.7 months;
p less than 0.0001). Patients treated with methotrexate whose tumor
p53 profiles were positive for ADVEXIN efficacy had a median survival
of only 4.3 months.
Methotrexate improved survival in a different group of patients with
tumor p53 profiles negative for ADVEXIN efficacy (median survival 5.9
vs. 2.7 months; p = 0.0112).
The majority of ADVEXIN responders (77 percent) had tumor p53 profiles
positive for ADVEXIN efficacy compared to 52 percent of methotrexate
treated patients with this profile. In ADVEXIN treated patients with
tumor p53 profiles negative for ADVEXIN efficacy the tumor response
rate was 33 percent. These response differences between ADVEXIN and
methotrexate were statistically significant (p = 0.0268).
ADVEXIN demonstrated a superior safety profile to methotrexate.
About ADVEXIN
ADVEXIN p53 therapy is a targeted molecular therapy with broad
applicability in a wide range of tumor types and clinical settings
because it targets one of the most fundamental and common molecular
defects, abnormal p53 tumor suppressor function, associated with cancer
initiation, progression and treatment resistance. ADVEXIN has
demonstrated increased survival and tumor growth control in recurrent
head and neck cancer patients. ADVEXIN has demonstrated clinical
activity in a number of solid tumor types in multiple Phase 1, 2 and 3
clinical trials conducted worldwide. ADVEXIN is considered an 'Orphan
Drug' in the U.S. for the treatment of recurrent, refractory head and
neck cancer, which, if approved, entitles the drug to extended market
exclusivity for the approved indication. ADVEXIN is a registered
trademark describing p53 therapy, developed by Introgen under exclusive
worldwide licenses from The University of Texas M.D. Anderson Cancer
Center.
About Introgen
Introgen Therapeutics, Inc. is a biopharmaceutical company focused on
the discovery, development and commercialization of targeted molecular
therapies for the treatment of cancer and other diseases. Introgen is
developing molecular therapeutics, immunotherapies, vaccines and
nano-particle tumor suppressor therapies to treat a wide range of
cancers using tumor suppressors, cytokines and genes. Introgen maintains
integrated research, development, manufacturing, clinical and regulatory
departments and operates multiple manufacturing facilities including a
commercial scale cGMP manufacturing facility. In June 2008 Introgen
submitted a BLA to the FDA requesting marketing approval for ADVEXIN p53
therapy to treat recurrent, refractory head and neck cancer.
Simultaneously, Gendux Molecular Limited, an Introgen subsidiary,
submitted a MAA to the EMEA for the same indication. ADVEXIN represents
the first of a new class of tumor suppressor cancer therapy and is the
first of its kind to be submitted for regulatory approval in the United
States and Europe.
Forward-Looking Statements Statements in this release that are not strictly historical may be
"forward-looking" statements, including those relating to Introgen's
future success with its ADVEXIN clinical development programs for
treatment of cancer and the use of biomarker data to support the
regulatory approval of ADVEXIN and improve the care of patients. The
actual results may differ from those described in this release due to
risks and uncertainties that exist in Introgen's operations and business
environment, including Introgen's stage of product development and the
limited experience in the development of gene-based drugs in general,
dependence upon proprietary technology and the current competitive
environment, history of operating losses and accumulated deficits,
reliance on collaborative relationships, and uncertainties related to
clinical trials, the safety and efficacy of Introgen's product
candidates, the ability to obtain the appropriate regulatory approvals,
Introgen's patent protection and market acceptance, as well as other
risks detailed from time to time in Introgen's filings with the
Securities and Exchange Commission including its filings on Form 10-K
and Form 10-Q. Introgen undertakes no obligation to publicly release the
results of any revisions to any forward-looking statements that reflect
events or circumstances arising after the date hereof. Only the FDA, EMEA and corresponding regulatory agencies have the
authority to approve pharmaceutical products. We cannot predict
how such authorities may interpret the information contained in this
release.