Bayer and Regeneron Dose First Patient in Second Phase 3 Study for VEGF Trap-Eye in Wet Age-Related Macular Degeneration
May 08 2008 - 1:36AM
PR Newswire (US)
International Study to Evaluate Efficacy and Safety in Treating a
Leading Cause of Blindness LEVERKUSEN, Germany, MONTVILLE, New
Jersey and TARRYTOWN, New York, May 8 /PRNewswire-FirstCall/ --
Bayer HealthCare AG and Regeneron Pharmaceuticals, Inc.
(NASDAQ:REGN) today announced that the first patient has been dosed
in the VIEW 2 trial, a second Phase 3 clinical study in a
development program evaluating VEGF Trap-Eye for the treatment of
the neovascular form of Age-related Macular Degeneration (wet AMD),
a leading cause of blindness in adults. VIEW 2 (VEGF Trap-Eye:
Investigation of Efficacy and Safety in Wet AMD) will enroll
approximately 1,200 patients in up to 200 centers in Europe, Asia
Pacific, Japan and Latin America. The first Phase 3 trial, VIEW 1,
began enrolling patients in August 2007 in the United States and
Canada. Both VIEW 1 and VIEW 2 are designed to evaluate the
efficacy and safety of VEGF Trap-Eye administered by intravitreal
injection, at dosing intervals of 4 and 8 weeks. The development
program will include visual acuity endpoints and anatomical
endpoints, including retinal thickness, a measure of disease
activity. The trial is intended to establish non-inferiority of
VEGF Trap-Eye with Lucentis(R)* (ranibizumab), an antiangiogenic
agent approved for use in wet AMD in major markets globally. Wet
AMD accounts for about 90 percent of all severe AMD-related vision
loss. It occurs when abnormal blood vessels in the eye leak fluid
and blood into the macula, the area of the retina that allows for
vision of fine details. This can lead to a rapid loss of central
vision with continued progression. "Results from the Phase 2 study
have shown that VEGF Trap-Eye has the potential to significantly
reduce retinal thickness and improve vision," said Kemal Malik, MD,
Head of Global Development and member of the Bayer HealthCare
Executive Committee. "Dosing of the first patient in this
confirmatory Phase 3 trial is an important milestone for this
compound intended to treat a devastating ocular disease that
impacts millions of people worldwide." "New therapies are still
needed to provide optimal care to those patients with wet AMD,"
said George D. Yancopoulos, M.D., Ph.D., President of Regeneron
Research Laboratories. "This global Phase 3 clinical program will
provide additional data to further evaluate the efficacy and safety
of VEGF Trap-Eye using different dosing regimens." Bayer HealthCare
and Regeneron are collaborating on the global development of VEGF
Trap-Eye for treatment of wet AMD, diabetic eye diseases, and other
ocular diseases and disorders. Once approved, Bayer HealthCare will
market VEGF Trap-Eye outside the U.S., where the parties will share
equally in profits from any future sales of VEGF Trap-Eye.
Regeneron maintains exclusive rights to VEGF Trap-Eye in the U.S.
VIEW 2 primary analysis results are anticipated in 2011. About VIEW
2 In the first year, the VIEW 2 (VEGF Trap-Eye: Investigation of
Efficacy and Safety in Wet AMD) study will evaluate the safety and
efficacy of VEGF Trap-Eye at doses of 0.5 milligrams (mg) and 2.0
mg administered at 4-week intervals and 2.0 mg at an 8-week dosing
interval, including one additional 2.0 mg dose at week four.
Patients randomized to the ranibizumab arm of the trial will
receive a 0.5 mg dose every 4 weeks. After the first year of
treatment, patients will continue to be followed and treated for
another year on a flexible, criteria-based extended regimen with a
dose administered at least every 12 weeks, but not more often than
every 4 weeks until the end of the study. The primary endpoint of
the study is the proportion of patients treated with VEGF Trap-Eye
who maintain vision at the end of one year, compared to ranibizumab
patients. Visual acuity is defined as the total number of letters
read correctly on the Early Treatment Diabetic Retinopathy Study
(ETDRS) chart, a standard chart used in research to measure visual
acuity. Maintenance of vision is defined as losing fewer than three
lines (equivalent to 15 letters) on the ETDRS chart. Key secondary
endpoints include the mean change from baseline in visual acuity as
measured by ETDRS and the proportion of patients who gained at
least 15 letters of vision at week 52. Phase 2 Clinical Data In a
Phase 2 trial in 157 patients, announced in October 2007 at the
Retina Society Conference in Boston, VEGF Trap-Eye met both primary
and secondary key endpoints: a statistically significant reduction
in retinal thickness (a measure of disease activity) after 12 weeks
of treatment compared with baseline and a statistically significant
improvement from baseline in visual acuity (ability to read letters
on an eye chart). Following the initial 12-week fixed-dosing phase
of the trial, patients continued to receive therapy at the same
dose on a PRN (as needed) dosing schedule based upon the physician
assessment of the need for re-treatment in accordance with
pre-specified criteria. At the 2008 meeting of the Association for
Vision and Ophthalmology (ARVO), it was reported that, on average,
patients on the PRN dosing schedule maintained the gain in visual
acuity and decrease in retinal thickness achieved at week 12
through week 32 of the study. About VEGF Trap-Eye Vascular
Endothelial Growth Factor (VEGF) is a naturally occurring protein
in the body whose normal role is to trigger the formation of new
blood vessels (angiogenesis) to support the growth of the body's
tissues and organs. It has also been associated with the abnormal
growth and fragility of new blood vessels in the eye, which lead to
the development of wet AMD. VEGF Trap-Eye is a fully human, soluble
VEGF receptor fusion protein that binds all forms of VEGF-A along
with the related placental growth factor (PIGF) and VEGF-B. VEGF
Trap-Eye is a specific and highly potent blocker of these growth
factors. Blockade of VEGF can prevent abnormal blood vessel
formation as well as vascular leak and has proven beneficial in the
treatment of wet AMD. About Wet AMD Age-related Macular
Degeneration (AMD) is a leading cause of acquired blindness.
Macular degeneration is diagnosed as either dry (non-exudative) or
wet (exudative). In wet AMD, new blood vessels grow beneath the
retina and leak blood and fluid. This leakage causes disruption and
dysfunction of the retina creating blind spots in central vision,
and it can account for blindness in wet AMD patients. Wet AMD is
the leading cause of blindness for people over the age of 65 in the
U.S. and Europe. About Bayer HealthCare The Bayer Group is a global
enterprise with core competencies in the fields of health care,
nutrition and high-tech materials. Bayer HealthCare, a subsidiary
of Bayer AG, is one of the world's leading, innovative companies in
the healthcare and medical products industry and is based in
Leverkusen, Germany. The company combines the global activities of
the Animal Health, Consumer Care, Diabetes Care and Pharmaceuticals
divisions. The pharmaceuticals business operates under the name
Bayer Schering Pharma AG. Bayer HealthCare's aim is to discover and
manufacture products that will improve human and animal health
worldwide. Find more information at
http://www.bayerhealthcare.com/. Bayer Schering Pharma is a
worldwide leading specialty pharmaceutical company. Its research
and business activities are focused on the following areas:
Diagnostic Imaging, General Medicine, Specialty Medicine and
Women's Healthcare. With innovative products, Bayer Schering Pharma
aims for leading positions in specialized markets worldwide. Using
new ideas, Bayer Schering Pharma aims to make a contribution to
medical progress and strives to improve the quality of life. Find
more information at http://www.bayerscheringpharma.de/. About
Regeneron Regeneron is a fully integrated biopharmaceutical company
that discovers, develops, and commercializes medicines for the
treatment of serious medical conditions. In addition to
ARCALYST(TM) (rilonacept) Injection for Subcutaneous Use, its first
commercialized product, Regeneron has therapeutic candidates in
clinical trials for the potential treatment of cancer, eye
diseases, and inflammatory diseases, and has preclinical programs
in other diseases and disorders. Additional information about
Regeneron and recent news releases are available on Regeneron's Web
site at http://www.regeneron.com/. * (Note: Lucentis(R) is a
registered trademark of Genentech, Inc.) Bayer HealthCare Forward
Looking Statement This release may contain forward-looking
statements based on current assumptions and forecasts made by Bayer
Group or subgroup management. Various known and unknown risks,
uncertainties and other factors could lead to material differences
between the actual future results, financial situation, development
or performance of the company and the estimates given here. These
factors include those discussed in Bayer's public reports which are
available on the Bayer website at http://www.bayer.com/. The
company assumes no liability whatsoever to update these
forward-looking statements or to conform them to future events or
developments. Regeneron Forward Looking Statement This news release
discusses historical information and includes forward-looking
statements about Regeneron and its products, development programs,
finances, and business, all of which involve a number of risks and
uncertainties, such as risks associated with preclinical and
clinical development of Regeneron's drug candidates, determinations
by regulatory and administrative governmental authorities which may
delay or restrict Regeneron's ability to continue to develop or
commercialize its product and drug candidates, competing drugs that
are superior to Regeneron's product and drug candidates,
uncertainty of market acceptance of Regeneron's product and drug
candidates, unanticipated expenses, the availability and cost of
capital, the costs of developing, producing, and selling products,
the potential for any collaboration agreement, including
Regeneron's agreements with the sanofi-aventis Group and Bayer
HealthCare, to be cancelled or to terminate without any product
success, risks associated with third party intellectual property,
and other material risks. A more complete description of these and
other material risks can be found in Regeneron's filings with the
United States Securities and Exchange Commission (SEC), including
its Form 10-Q for the quarter ended March 31, 2008. Regeneron does
not undertake any obligation to update publicly any forward-looking
statement, whether as a result of new information, future events,
or otherwise unless required by law. Contact at Bayer HealthCare:
Astrid Kranz, Phone: +49-30-468-12057, E-mail: ; Rose Talarico,
Phone: +1-973-305-5258, E-mail: . Contact at Regeneron: Laura
Lindsay, Phone: +1-914-345-7800, E-mail: ; Lauren Tortorete, Phone:
+1-212-845-5609, E-mail: . DATASOURCE: Bayer HealthCare CONTACT:
Contact at Bayer HealthCare: Astrid Kranz, Phone: +49-30-468-12057,
E-mail: ; Rose Talarico, Phone: +1-973-305-5258, E-mail: . Contact
at Regeneron: Laura Lindsay, Phone: +1-914-345-7800, E-mail: ;
Lauren Tortorete, Phone: +1-212-845-5609, E-mail: .
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