27.01.2008 12:04:00
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Interim Safety Data Presented on Vectibix(TM) (Panitumumab) in Combination with Standard Chemotherapy
Amgen (NASDAQ: AMGN) today announced interim pooled, blinded safety data
from two Phase 3 trials examining Vectibix™
(panitumumab) in combination with chemotherapy in first- and
second-lines of metastatic colorectal cancer (mCRC) treatment. The
respective independent Data Monitoring Committee’s
reviews of the pooled, or combined, safety data from both arms of these
randomized, multi-center trials endorsed the continuation of these
studies per protocol. These interim data were presented today at the
2008 Gastrointestinal Cancers Symposium (ASCO GI) in Orlando, Fla.
Vectibix was approved as a monotherapy in the United States (U.S.) in
September 2006 for the treatment of patients with epidermal growth
factor receptor- (EGFr) expressing mCRC after disease progression on or
following fluoropyrimidine-, oxaliplatin-, and irinotecan-containing
chemotherapy regimens.
"We continue to make progress in elucidating
the potential utility of Vectibix in the treatment of colorectal cancer,”
said David Chang, M.D., vice president for oncology clinical development
at Amgen. "These Phase 3 studies will provide
important information about the efficacy of Vectibix when used in
combination with conventional chemotherapy regimens.” PRIME (203) Study
The "PRIME” (Panitumumab
Randomized trial In
combination with chemotherapy for Metastatic
colorectal cancer to determine Efficacy)
or "203” trial is
a global Phase 3 study investigating Vectibix in combination with FOLFOX
chemotherapy as a first-line treatment for patients with mCRC. Patients
enrolled in the study were randomized to receive either 6.0 mg/kg of
Vectibix and FOLFOX4 once every two weeks (Q2W) or FOLFOX4 alone Q2W.
The primary endpoint is progression-free survival and other endpoints
include overall survival, objective response rate, time to progression,
duration of response and safety.
A pooled interim safety review of 601 patients (302 Vectibix plus
FOLFOX; 299 FOLFOX only) of which 99 percent received at least one cycle
of therapy showed the following grade 3/4 adverse events: neutropenia
(25 percent), diarrhea (10 percent), fatigue (four percent), nausea and
pulmonary embolism (three percent, respectively), febrile neutropenia,
hypomagnesemia, dehydration and deep vein thrombosis (two percent,
respectively). Fifty-four percent of the pooled patient population had a
skin reaction with 11 percent of patients having a grade three and less
than one percent experiencing a grade four. PRIME study’s
target accrual goal of approximately 1,150 patients was reached in
January 2008.
181 Study
The "181” trial is
a global Phase 3 study investigating Vectibix in combination with
FOLFIRI chemotherapy as a second-line treatment for patients with mCRC.
Patients enrolled in the study were randomized to receive either 6.0
mg/kg of Vectibix and FOLFIRI Q2W or FOLFIRI Q2W alone. The co-primary
endpoints are progression-free survival and overall survival, other
endpoints include objective response rate, time to progression, duration
of response and safety.
A pooled interim safety review for 701 patients (352 Vectibix plus
FOLFIRI; 349 FOLFIRI only) of which 99 percent received at least one
cycle of therapy showed the following grade 3/4 adverse events:
neutropenia (15 percent), diarrhea (9 percent), fatigue (four percent),
febrile neutropenia, nausea, dehydration, pulmonary embolism (two
percent, respectively), hypomagnesemia and deep vein thrombosis (one
percent, respectively) and infection (less than one percent). Sixty-one
percent of the pooled patient population had a skin reaction with 12
percent experiencing a grade three and less than one percent
experiencing a grade four. Target accrual for this study is
approximately 1,100 patients and enrollment is anticipated to be
complete by Q1 2008.
In both arms of each trial KRAS mutational status in patients’
tumors will be studied as a biomarker for Vectibix activity. Recent data
indicate that KRAS gene status may predict efficacy and could
potentially serve as a patient selection biomarker for Vectibix
monotherapy.
STEPP Study
Also presented at ASCO GI were data from "STEPP”
(Skin Toxicity
Evaluation Protocol
with Panitumumab), the first
prospective study that examined differences between pre-emptive and
reactive skin treatment for skin toxicities. Patients enrolled in the
study either received second-line FOLFIRI-based chemotherapy plus 6.0
mg/kg of Vectibix Q2W (n=32) or irinotecan-based chemotherapy plus 9.0
mg/kg Vectibix (n=26) every three weeks (Q3W) and were randomized to
pre-emptive or reactive skin treatment. Pre-emptive skin treatment
included the administration of skin moisturizer, sunscreen, topical
steroid, and doxycycline.
An interim analysis of 58 patients that completed 14 weeks of Vectibix
treatment showed the following adverse events: 72 percent of patients
had a grade three or greater adverse event in the Vectibix/FOLFIRI Q2W
arm with the most notable events being neutropenia (19 percent),
diarrhea and dermatitis acneiform (16 percent) and dehydration (13
percent). In the Vectibix/Irinotecan Q3W arm 50 percent of patients
experienced a grade three or greater adverse event with hypokalemia (15
percent) being the most significant.
In this interim analysis the investigator assessed best overall response
(complete response plus partial response) in the Vectibix plus FOLFIRI
Q2W arm was 31 percent.
About Vectibix
Vectibix is approved as a monotherapy for the treatment of patients with
EGFr-expressing mCRC after disease progression on or following
fluoropyrimidine-, oxaliplatin-, and irinotecan-containing chemotherapy
regimens. The effectiveness of Vectibix as a single agent for the
treatment of EGFr-expressing, metastatic colorectal carcinoma is based
on progression-free survival. Currently no data are available that
demonstrate an improvement in disease-related symptoms or increased
survival with Vectibix. In December 2007, the European Medicines Agency
(EMEA) granted a conditional marketing authorization for Vectibix as
monotherapy for the treatment of patients with EGFr-expressing mCRC with
non-mutated (wild-type) KRAS genes after failure of standard
chemotherapy regimens. Regulatory applications in the rest of the world
are still pending.
Important Product Safety Information
Dermatologic toxicities, related to Vectibix blockade of EGF binding and
subsequent inhibition of EGF receptor-mediated signaling pathways,
included but were not limited to dermatitis acneiform, pruritus,
erythema, rash, skin exfoliation, paronychia, dry skin, and skin
fissures. Dermatologic toxicities were reported in 89 percent of
patients treated with Vectibix and were severe in 12 percent of
patients. Severe dermatologic toxicities were complicated by infection,
including sepsis, septic death, and abscesses requiring incisions and
drainage. Vectibix may need to be withheld or discontinued for severe
dermatologic toxicities.
Severe infusion reactions occurred with Vectibix in approximately 1
percent of patients. Severe infusion reactions were identified as
anaphylactic reactions, bronchospasm, fever, chills, and hypotension.
Although fatal infusion reactions have not been reported with Vectibix,
they have occurred with other monoclonal antibody products. Severe
infusion reactions require stopping the infusion and possibly
permanently discontinuing Vectibix, depending on the severity and/or
persistence of the reaction.
About Amgen
Amgen discovers, develops and delivers innovative human therapeutics. A
biotechnology pioneer since 1980, Amgen was one of the first companies
to realize the new science’s promise by
bringing safe and effective medicines from lab, to manufacturing plant,
to patient. Amgen therapeutics have changed the practice of medicine,
helping millions of people around the world in the fight against cancer,
kidney disease, rheumatoid arthritis, and other serious illnesses. With
a deep and broad pipeline of potential new medicines, Amgen remains
committed to advancing science to dramatically improve people’s
lives. To learn more about our pioneering science and our vital
medicines, visit www.amgen.com.
Forward-Looking Statements
This news release contains forward-looking statements that are based on
management’s current expectations and beliefs
and are subject to a number of risks, uncertainties and assumptions that
could cause actual results to differ materially from those described.
All statements, other than statements of historical fact, are statements
that could be deemed forward-looking statements, including estimates of
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in the Securities and Exchange Commission (SEC) reports filed by Amgen,
including Amgen’s most recent annual report
on Form 10-K and most recent periodic reports on Form 10-Q and Form 8-K.
Please refer to Amgen’s most recent Forms
10-K, 10-Q and 8-K for additional information on the uncertainties and
risk factors related to our business. Unless otherwise noted, Amgen is
providing this information as of Jan. 27, 2008 and expressly disclaims
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No forward-looking statement can be guaranteed and actual results may
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new product candidates or development of new indications for existing
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product candidate or development of a new indication for an existing
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perfectly, or sometimes, even adequately modeled by computer or cell
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us to complete clinical trials and obtain regulatory approval for
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Product candidates that are derived from relationships may be subject to
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