Highest of three doses removed from Phase 3 trials in ApoE4 non-carriers; lower doses continue as planned Two ongoing trials in ApoE4 carriers unchanged
DUBLIN & COLLEGEVILLE, Pa.--(BUSINESS WIRE)--Apr. 2, 2009--
Elan Corporation, plc (NYSE: ELN) and Wyeth (NYSE: WYE) today announced
that the companies will discontinue the highest of three dosing
regimens, 2.0 mg/kg, in the two ongoing Phase 3 studies of bapineuzumab
in patients with mild to moderate Alzheimer’s disease (AD) who do not
carry the Apolipoprotein E4 (ApoE4) allele (non-carriers). ApoE4 is a
known genetic risk factor for development of AD. The 0.5 mg/kg and 1.0
mg/kg doses in these two trials will continue as planned.
This decision has no impact on two other ongoing studies, which are
testing a single 0.5 mg/kg dose of bapineuzumab in patients who carry
the ApoE4 allele (carriers). No changes are planned for these two
carrier studies. The Phase 3 program for bapineuzumab is the largest
clinical program ever initiated in Alzheimer’s disease. It is expected
that approximately 4,000 patients will be included across all four
studies.
The decision of the companies to discontinue the 2.0 mg/kg dose was made
in concurrence with the study’s independent Safety Monitoring Committee
(SMC), following its review of vasogenic edema (VE) in the ongoing Phase
3 clinical program. The SMC also reviewed unblinded data regarding VE
from the 0.5 mg/kg and 1.0 mg/kg dose cohorts in the non-carrier studies
and does not have concerns about these cohorts at this time.
“Alzheimer’s disease is a devastating condition and the development of
new therapies that have the potential to slow progression of the illness
is critical,” said Elan President Carlos Paya, MD, PhD. “Our review of
the safety data and the feedback from the Safety Monitoring Committee
made it clear that continued development of the highest dose was not
advisable. The decision to remove the highest dose from development
reduces risk to patients and it also helps to reduce risk to the overall
development effort.”
Moving forward, newly enrolled patients will be randomized to either the
0.5 mg/kg or the 1.0 mg/kg dose cohorts or to placebo. In consultation
with the SMC, the companies plan to amend the protocols to allow
patients who are currently receiving the 2.0 mg/kg dose to be reassigned
to the 1.0 mg/kg dose.
Wyeth and Elan’s decision to modify the dosing regimen for two of the
four ongoing Phase 3 studies is being communicated to study
investigators and the Boards of Health where the clinical trials are
being conducted.
About Vasogenic Edema
Vasogenic edema is an accumulation of water in brain tissue, possibly
related to changes in blood vessel permeability. VE is most frequently
detected on MRI scans in asymptomatic patients exposed to bapineuzumab,
but may be associated with symptoms in some patients. In a Phase 2 trial
of bapineuzumab, VE was observed more frequently in patients who were
carriers of the ApoE4 allele and was more likely to occur at higher
doses of bapineuzumab.
About the Global Bapineuzumab Phase 3 Clinical Trial Program
The global bapineuzumab Phase 3 program was initiated in December 2007
and includes four randomized, double-blind, placebo-controlled studies.
Two of these studies test bapineuzumab in carriers of the ApoE4 allele
(one in North America; one internationally) and two studies test
bapineuzumab in non-carriers (one in North America; one
internationally). The two non-carrier trials were originally anticipated
to enroll approximately 1,250 patients each. With the removal of the 2.0
mg/kg dose group, it is now expected that the studies will each have
approximately 1,000 patients for efficacy evaluation. We continue to
anticipate that the two carrier trials, which only test the 0.5 mg/kg
dose, will enroll approximately 800 patients each; this is unchanged
with today’s announcement.
About the Elan and Wyeth Collaboration
The Wyeth and Elan Alzheimer's Immunotherapy Program (AIP) includes
investigational clinical programs for bapineuzumab. AIP is a
collaboration between the two companies to research, develop and
commercialize immunotherapeutic approaches that may be used to treat and
possibly prevent the onset of Alzheimer’s disease. AIP research focuses
on the beta amyloid hypothesis, as the companies believe that enhancing
the clearance of beta amyloid in the brain may provide a new treatment
approach for Alzheimer’s disease.
About Elan
Elan Corporation, plc is a neuroscience-based biotechnology company
committed to making a difference in the lives of patients and their
families by dedicating itself to bringing innovations in science to fill
significant unmet medical needs that continue to exist around the world.
Elan shares trade on the New York, London and Dublin Stock Exchanges.
For additional information about the company, please visit http://www.elan.com.
About Wyeth
Wyeth (NYSE:WYE) is one of the world’s largest research-driven
pharmaceutical and health care products companies. It is a leader in the
discovery, development, manufacturing and marketing of pharmaceuticals,
vaccines, biotechnology products, nutritionals and non-prescription
medicines that improve the quality of life for people worldwide. The
Company’s major divisions include Wyeth Pharmaceuticals, Wyeth Consumer
Healthcare and Fort Dodge Animal Health.
Safe Harbor/Forward-Looking Statements
The statements in this press release regarding the clinical program
for bapineuzumab are forward-looking statements that are subject to
risks and uncertainties that could cause actual results to differ
materially from those expressed or implied by such statements. In
particular, there can be no assurance that the clinical program for
bapineuzumab will be successful in demonstrating safety and/or efficacy,
that we will not encounter problems or delays in clinical development,
or that bapineuzumab will ever receive regulatory approval or be
successfully commercialized. Other risks and uncertainties that
could cause actual results to differ materially from those expressed or
implied by these forward-looking statements include those detailed from
time to time in the companies’ periodic reports filed with the
Securities and Exchange Commission, including Wyeth`s current reports on
Form 8-K, quarterly reports on Form 10-Q and annual report on Form 10-K,
particularly the discussion under the caption "Item 1A, Risk Factors" in
Wyeth`s Annual Report on Form 10-K for the year ended December 31, 2008,
which was filed with the Securities and Exchange Commission on February
27, 2009, and Elan’s Reports of Foreign Issuer on Form 6-K and Annual
Report on Form 20-F, particularly the discussion under the caption “Item
3D, Risk Factors” in Elan’s Annual Report on Form 20-F for the year
ended December 31, 2008, which was filed with the Securities and
Exchange Commission on February 26, 2009 The forward-looking
statements in this press release are qualified by these risk factors.
The companies assume no obligation to publicly update any
forward-looking statements, whether as a result of new information,
future developments or otherwise.
Source: Elan Corporation, plc and Wyeth
Investors:
Elan
Chris Burns, 800-252-3526
or
David
Marshall, 353-1-709-4444
or
Wyeth
Justin Victoria,
973-660-5340
or
Media:
Elan
Mary Stutts,
650-794-4403 or 650-823-5255
or
Niamh Lyons, 353-1-663-3602
or
Wyeth
Douglas
Petkus, 973-660-5218
or
Michael Lampe, 484-865-1346