Sequenom, Inc. (NASDAQ:SQNM) announced new data from a
collaborative project with The Chinese University of Hong Kong,
published this week in the Early Edition of the Proceedings of the
National Academy of Sciences, that demonstrate its innovative,
next-generation, noninvasive prenatal diagnostic technology accurately
quantified maternal plasma DNA sequences for fetal Trisomy 21, or Down
syndrome, based on samples taken from women in the first and second
trimesters of pregnancy. These data are the first to suggest that this
future approach, based on massively parallel genomic DNA sequencing, can
be effective in women who had not previously undergone invasive
procedures.
This study used massively parallel genomic sequencing to quantify
maternal plasma DNA sequences for the noninvasive prenatal detection of
Down syndrome, assessing samples from 28 women in the first and second
trimesters of pregnancy. All 14 Down syndrome fetuses and normal fetuses
were correctly identified at these early stages.
"Current invasive methods for diagnosing Down syndrome in pregnancy have
documented risks associated with such procedures. Our new study using
massively parallel genomic DNA sequencing represents a ‘next-generation’
technology for noninvasive, safe testing of Down syndrome. This is the
first study to show that this approach can be used for the detection of
Down syndrome in both the first and second trimesters, based on a
rigorously controlled clinical cohort in which the pregnant women with
fetuses affected by Trisomy 21 and those with normal fetuses were
matched in gestational age, and in which most of the studied subjects
had not previously undergone an invasive procedure. The latter point is
important as it shows that the method would truly work in the
noninvasive prenatal diagnostic scenario. This study also employs a
novel data analysis algorithm which has achieved an unprecedented clear
separation of the Trisomy and normal samples,” stated Dennis Lo, M.D.,
Ph.D., co-author of the study, and Li Ka Shing, Professor of Medicine at
The Chinese University of Hong Kong. "While this new approach is several
years away as a commercially viable test, we believe that massively
parallel genomic sequencing of DNA in maternal plasma may offer a
complementary approach to the RNA SNP allelic ratio approach that we
reported last year for Trisomy 21 detection. The two approaches have
performance and cost profiles which would potentially be synergistic to
one another.”
Sequenom licensed the exclusive rights to the massively parallel genomic
DNA sequencing technology featured in this study from The Chinese
University of Hong Kong in September 2008.
"Screening tests currently available for early detection of Down
syndrome and other chromosomal disorders are associated with a
relatively high rate of inaccuracy, which can result in an overlooked
abnormality or, in the case of false positive results, unnecessary
invasive and risky procedures,” stated Harry Stylli, Ph.D., President
and Chief Executive Officer of Sequenom. "Systems to support DNA
sequencing like massively parallel genomic sequencing or shotgun
sequencing are currently limited to the academic setting due to
scalability limitations and high cost, therefore practical applications
are several years from commercialization. We find the data reported by
Dr. Lo and associates to be very compelling and, while we continue to
evaluate other promising approaches, Sequenom licensed this technology
several months ago because we believe massively parallel genomic
sequencing is a promising approach to prenatal diagnostics that may
offer a future extension to our SEQureDx™ prenatal diagnostics
franchise. Even though this technology is years away from the clinic, we
expect that our current RNA SNP allelic ratio technology – which is the
basis for the Down syndrome test we expect to launch in June 2009 – will
represent a major step forward in maternal and fetal testing.”
Current screening technology for Down syndrome includes serum marker
analysis, such as the quad screen and first trimester combined screening
that employs both serum marker testing and nuchal translucency. These
approaches have detection or sensitivity rates of 80% and 85%
respectively, which means between 15% and 20% of all Down
syndrome-affected pregnancies will not be identified as needing further
evaluation. In addition, these approaches also have false positive rates
between 5% and 10%, resulting in hundreds of thousands of unnecessary,
highly invasive CVS or amniocentesis procedures. These invasive
procedures, which are used to determine whether the fetus has Down
syndrome, carry a risk of miscarriage in the range of one-in-100 to
one-in-300.
The study, entitled "Noninvasive prenatal diagnosis of fetal
chromosomal aneuploidy by massively parallel genomic sequencing of DNA
in maternal plasma” by Chiu et. al., is available online in this
week’s Early Edition of PNAS at www.PNAS.org.
Sequenom's Proprietary Noninvasive Prenatal Diagnostics
Sequenom's commercial opportunities in prenatal diagnostics are built
upon its SEQureDx technologies and are enabled by the pioneering
inventions and associated intellectual property rights that it has
exclusively licensed from Isis Innovation Ltd., the technology transfer
company of the University of Oxford, as well as The Chinese University
of Hong Kong. Sequenom's portfolio of noninvasive prenatal diagnostic
patent rights and patent applications is platform-independent, includes
genetic-analysis methods using circulating cell-free fetal nucleic acids
from maternal serum, plasma or whole blood, and also includes a
portfolio of methylation and nucleic-acid markers. Sequenom holds
exclusive rights in territories including the United States, Europe,
Australia, Canada, Japan and Hong Kong. Sequenom is actively expanding
its intellectual property position with new technology and new
territories. Because Sequenom's license rights are platform-independent,
the rights provide exclusivity (with the narrow exception in Europe for
RT-PCR-based Rhesus D tests) for development and commercialization of
noninvasive prenatal screens and tests on any platform and are not
limited to the Company's MassARRAY® platform.
About SEQureDx Technology
Sequenom's SEQureDx Technology is a novel approach to genetic screening.
Unlike current standards of harvesting placental tissue cells as is
required for chorionic villus, or entering the uterus to sample the
amniotic fluid surrounding the baby as is performed with amniocentesis,
SEQureDx Technology extracts Fetal Nucleic Acid material safely and
comfortably from a simple blood specimen collected from the mother to
determine the genetic status of the fetus. This breakthrough suggests
that effective screening may be accomplished in the future without the
risks associated with disturbing the amniotic fluid that surrounds the
baby in the uterus. In December 2007, the Company, through a laboratory
partner, introduced a laboratory-developed RHD genotyping test using
RT-PCR in the United States.
Sequenom continues to make substantial progress with its noninvasive
Trisomy 21 test based on multiple RNA fetal markers, including the PLAC4
gene as previously published by Dr. Dennis Lo. Recently, Sequenom
announced initiation of a 16-month RNA-based Noninvasive Aneuploidy
(RNA) study to evaluate its Trisomy 21 technology performance in up to
10,000 women with high-prevalence pregnancies within the first
trimester. Led by Drs. Jacob Canick, Ph.D. and Glenn Palomaki from Women
& Infants Hospital at Alpert Medical School of Brown University in
Providence, Rhode Island, the study’s primary goal is to document the
performance (clinical sensitivity and false-positive rate) of Sequenom’s
Trisomy 21 technology that uses fetal RNA in maternal plasma to identify
Down syndrome in early pregnancy. The study is expected to be completed
post-launch of the Trisomy 21 test.
About Down Syndrome
Down syndrome is a chromosomal abnormality characterized by the presence
of an extra copy of genetic material on the 21st chromosome, either in
whole (Trisomy 21) or in part (such as due to translocations). The
effects of the extra copy vary greatly among people. In 2007, the
American College of Obstetricians and Gynecologists (ACOG) endorsed
guidelines that offer risk assessment to all pregnancies for fetal
chromosomal abnormalities, including Down syndrome. The ACOG
recommendation includes screening before the 20th week of pregnancy
using a less-invasive screening option that includes ultrasound in
conjunction with the measurement of certain blood hormones. It is
estimated that approximately 70%, or 2.8 million, women undergo Down
syndrome screening in the United States each year.
About Sequenom
Sequenom is committed to providing the best genetic analysis products
that translate the results of genomic science into solutions for
noninvasive prenatal diagnostics, biomedical research, translational
research and molecular medicine applications. The Company's proprietary
MassARRAY system is a high-performance (in speed, accuracy and cost
efficiency) nucleic acid analysis platform that quantitatively and
precisely measures genetic target material and variations. The Company
has exclusively licensed intellectual property rights for the
development and commercialization of noninvasive prenatal genetic tests
for use with the MassARRAY system and other platforms. For more
information on Sequenom, please visit the Company's Web site at www.sequenom.com.
Sequenom®, MassARRAY® and SEQureDx™ are trademarks
of Sequenom, Inc.
About The Chinese University of Hong Kong
Founded in 1963, The Chinese University of Hong Kong (CUHK) is a forward
looking comprehensive research university with a global vision and a
mission to combine tradition with modernity, and to bring together China
and the West. CUHK teachers and students hail from all corners of the
world. In 2007, CUHK had more than 6,100 staff members, approximately
10,000 undergraduate and 3,300 research postgraduate students. Of these
students, some 2,500 are from 45 countries and regions outside Hong
Kong. The University received research funding of close to HK$400
million in the 2006/07 academic year from various local and overseas
sources. Four research areas led by CUHK staff have been selected as
four of only ten Areas of Excellence funded by the University Grants
Committee. CUHK research centers have close collaboration with mainland
China and overseas institutions. Many research products have been put
into practical use through technology transfer and spin-off companies.
Technology transfer at CUHK is handled by the Technology Licensing
Office headed by Ms. Alice Ngan.
Forward-Looking Statements
Except for the historical information contained herein, the matters
set forth in this press release, including statements regarding the
future of, development, commercialization and related timelines, and
expectations regarding massively parallel genomic DNA sequencing
approaches to prenatal diagnostics including testing of Down syndrome,
other potential DNA sequencing approaches, the Company’s expectations
regarding its RNA SNP allelic ratio approach for prenatal diagnostics
including its potential synergies with the massively parallel genomic
DNA sequencing approach, its expected launch in June 2009 and its impact
on maternal and fetal testing, the Company’s commercial opportunities in
prenatal diagnostics, effective prenatal screening in the future, and
the goals and expected completion of the Company’s RNA-based Noninvasive
Aneuploidy study, are forward-looking statements within the meaning of
the "safe harbor" provisions of the Private Securities Litigation Reform
Act of 1995. These forward-looking statements are subject to risks and
uncertainties that may cause actual results to differ materially,
including the risks and uncertainties associated with the Company's
operating performance, demand for and market acceptance of the Company's
products, services, and technologies, new technology and product
development and commercialization particularly for new technologies such
as molecular diagnostics, and particularly noninvasive prenatal
diagnostics, reliance upon the collaborative efforts of other parties,
research and development progress, competition, intellectual property
protection, government regulation, obtaining or maintaining regulatory
approvals, and other risks detailed from time to time in the Company's
SEC (U.S. Securities and Exchange Commission) filings, including the
Company's Annual Report on Form 10-K for the year ended December 31,
2007 and other documents subsequently filed with or furnished to the
SEC. These forward-looking statements are based on current information
that may change and you are cautioned not to place undue reliance on
these forward-looking statements, which speak only as of the date of
this press release. All forward-looking statements are qualified in
their entirety by this cautionary statement, and the Company undertakes
no obligation to revise or update any forward-looking statement to
reflect events or circumstances after the issuance of this press release.