04.06.2008 08:00:00
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Sequenom Announces Results of Screening Studies for Down Syndrome and Updates Development of Noninvasive Prenatal Diagnostics at Analyst and Investor Briefing
Sequenom, Inc. (NASDAQ:SQNM), a leading provider of genetic-analysis
solutions, announced positive results from screening studies using the
Company’s noninvasive circulating cell-free
fetal (ccff) nucleic acid SEQureDx™
Technology, which enables the detection of fetal aneuploidy, including
Down syndrome from maternal blood. At its analyst-and-investor briefing "The
Future of Noninvasive Prenatal Diagnostics”
held at the International Society of Prenatal Diagnostics (ISPD)
conference in Vancouver, Canada, executives were joined by a panel of
leading scientists and clinicians to discuss study results and updates
in the development of noninvasive prenatal diagnostics.
The Company reported that in blinded studies performed at Sequenom
involving approximately 200 clinical samples collected both
prospectively and retrospectively, its proprietary test for Down
syndrome correctly identified 100% of all Down syndrome samples (i.e.
sensitivity or detection rate), without any false-positive outcomes (i.e.
specificity). Population coverage for the T21 test improved to at least
93% of the U.S. population. With currently available serum-testing
options having detection rates between 70% to 90% and false-positive
rates as high as 5%, SEQureDx Technology shows promise for significant
performance advantages over the current paradigms for prenatal
screening. The Company expects to continue its development activities
through the end of 2008, at which time the Company will initiate
transfer of the technology to laboratory partners. The Company plans to
initiate a multi-site validation study consisting of several thousand
samples in the fourth quarter this year and launch its Down syndrome
test as a Laboratory Developed Test (LDT) in the U.S. in the first half
2009.
"We are very pleased to be reporting
substantial progress toward commercializing an important test to screen
for Down syndrome that can be administered as early as late in the first
trimester through a simple blood draw from the mother,”
said Harry Stylli, Ph.D., Sequenom’s President
and Chief Executive Officer. "Data from our
blinded screening study for the detection of fetal aneuploidy indicate
that the current version of our test has identified all Down syndrome
samples without any false-positive outcomes. Also our coverage has
improved to at least 93% of the U.S. population. Although these results
require further validation in larger studies, such results using
SEQureDxTM Technology can potentially transform current clinical
practice for Down syndrome-risk assessment.”
The studies conducted both prospectively and retrospectively, involved
approximately 200 samples in both normal and high-risk patients. The
blinded-prospective study involved 180 samples comprising 130 low-risk
and 50 high-risk samples. The test correctly identified three Down
syndrome samples without any false-positive outcomes. Of the 21 blinded
samples analyzed retrospectively, the test correctly identified seven
Down syndrome samples while also indicating no false-positive results.
"A direct, noninvasive genetic assessment of
fetal Down syndrome will result in far-better screening accuracy and
would dramatically reduce the number of unnecessary, invasive diagnostic
procedures that women undergo in current maternal serum-screening
protocols. Improved detection rates, as reported by Sequenom in its
assay optimization studies, exceed those with currently available
screening models,” said Allan T. Bombard,
M.D., a reproductive geneticist with more than two decades of experience
in the field of prenatal screening and diagnosis. (Dr. Bombard serves as
a Chief Medical Director at Sharp Mary Birch Hospital and is the
Principal Investigator of the study.) "Moreover,
having minimum false-positive results will significantly reduce the
number of unnecessary confirmatory diagnostic tests, as well as the
anxiety and complications associated with invasive procedures.”
Currently available tests conducted during the first or second trimester
of pregnancy use epigenetic markers associated with the Down syndrome
phenotype that are characterized as "surrogate”
markers as they are not directly related to the extra Number 21
chromosome. Different combinations of markers, measured at different
times in pregnancy, constitute the multiple-marker approach to
screening. These tests have detection rates of 70% to 90% with
approximately a 5% false-positive rate, while also having inconsistent
population coverage or ethnicity rates. The SEQureDx test uses a
maternal blood sample drawn as early as the first trimester and
identifies directly the extra Number 21 chromosome. Invasive procedures
such as amniocentesis or chorionic villus sampling (CVS) carry risk of
miscarriage and other risks to mother and fetus.
"Current screening methods, using multiple ‘surrogate’
markers, are very good, but are unlikely to reach diagnostic potential,”
said Jacob Canick, Ph.D., Professor of Pathology and Laboratory Medicine
at Brown University Medical School. "In
contrast, I am optimistic that tests using multiple-fetal RNA and DNA
markers can be developed not only for Down syndrome, but for all
clinically important aneuploidies, and it is reasonable to expect that
such direct, noninvasive diagnostics could be done in the first
trimester of pregnancy.”
Sequenom’s analyst-and-investor-briefing
event speakers included Alan Bombard, M.D., Chief Medical Officer at
Sharp Mary Birch Hospital, who discussed current clinical practices for
Down syndrome screening and diagnosis; Jacob Canick, Ph.D., Professor of
Pathology and Laboratory Medicine at Brown University Medical School,
who discussed methods for screening pregnancies for Down syndrome;
Professor Dennis Lo, consultant to Sequenom and a leading researcher in
prenatal diagnostics, who discussed the future of prenatal diagnosis;
and Sequenom’s Senior Vice President of
Research and Development Elizabeth Dragon, Ph.D., who reviewed progress
with Sequenom’s SEQureDx Technology in
developing a test for Down syndrome. A webcast of the event is available
on the Company Web site at www.sequenom.com.
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 its laboratory partner, introduced a
laboratory-developed RhD incompatibility test using RT-PCR in the United
States. In February 2008, Sequenom announced progress with its
noninvasive Trisomy 21 test based on multiple RNA fetal markers,
including the PLAC4 gene as previously published by Dr. Dennis Lo,
Chinese Hong Kong University. In these preliminary studies, data from
more than 100 clinical plasma specimens of various ethnicities indicated
that the development-stage Trisomy 21 test was approaching 85% (+/- 5%)
ethnic coverage, more than 95% sensitivity and close to 99% specificity.
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, depending on
the extent of the extra copy, genetic history and pure chance. 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
for research and the molecular-diagnostic markets. The Company makes
available superior solutions for genomic science in biomedical research,
livestock and agricultural applications and molecular medicine, as well
as for various diagnostic markets, including noninvasive prenatal
testing, oncology and infectious diseases. Sequenom’s
proprietary MassARRAY system delivers reliable and specific data from
complex biological samples and from genetic-target materials available
only in trace amounts.
Sequenom®, MassARRAY®
and SEQureDx™ are trademarks of Sequenom, Inc.
Except for the historical information contained herein, the matters
set forth in this press release, including statements regarding the
future performance, impact on healthcare, expectations, plans,
and timelines for development, screening studies, validation studies,
partnering and technology transfer, and commercialization of the Company’s
SEQureDx Technology for detection of fetal aneuploidy including Down
syndrome, 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
demand for and market acceptance of Sequenom’s
products, services, and technologies, new technology and product
development and commercialization, reliance upon the collaborative
efforts of other parties, research and development progress,
competition, government regulation particularly with respect to
diagnostic products and laboratory developed tests, obtaining or
maintaining regulatory approvals, and other risks detailed from time to
time in the Company’s SEC reports, including
the Company’s Annual Report on Form 10-K for
the year ended December 31, 2007 and subsequent periodic reports. These
forward-looking statements are based on current information that is
likely to change and speak only as of the date hereof. 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.
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