Largest Randomized, Prospective Idiopathic [Immune] Thrombocytopenic Purpura (ITP) Study to Date Shows Gamunex(R) Safe and Effic
June 01 2004 - 6:00AM
PR Newswire (US)
Largest Randomized, Prospective Idiopathic [Immune]
Thrombocytopenic Purpura (ITP) Study to Date Shows Gamunex(R) Safe
and Efficacious for Patients Immune Globulin Intravenous (Human),
10% Caprylate/Chromatography Purified RESEARCH TRIANGLE PARK, N.C.,
June 1 /PRNewswire-FirstCall/ -- Bayer HealthCare LLC, Biological
Products Division (Bayer BP), announced today that recently
published data surrounding its novel IGIV, Gamunex(R), Immune
Globulin Intravenous (Human), 10% Caprylate/Chromatography
Purified, met both primary and secondary endpoints for safety and
efficacy in an evaluation of the drug's use in the treatment of ITP
(Idiopathic [immune] Thrombocytopenic Purpura). Gamunex was
approved for the treatment of ITP and other indications in the
United States and Canada in August 2003, as well as in Germany
earlier this year. The primary endpoint was to achieve similar
platelet count elevation after treatment with Gamunex compared with
standard treatment, IGIV- S/D. Ninety percent of patients who were
treated with Gamunex achieved target platelet counts within seven
days of dosing compared to 83 percent in the IGIV-S/D group. The
secondary endpoint was to maintain platelet counts for at least
seven days, which 74 percent of the Gamunex group achieved compared
with 60 percent of the IGIV-S/D control group. A Personal Account
of Idiopathic [immune] Thrombocytopenic Purpura ITP is an
autoimmune disorder of unknown cause that affects both children and
adults. In children, it is usually an acute, temporary condition
with rapid onset typically following an infection. In adults, ITP
is a chronic condition distinguished by a severe onset. ITP occurs
when the immune system malfunctions and produces antibodies against
the body's own platelets. These antibodies destroy the platelets,
resulting in a decreased level of blood platelets needed for normal
blood clotting. Characterized by a low platelet count,
notwithstanding normal bone marrow production and the absence of
other specific causes (such as leukemia or aplastic anemia), ITP
can lead to life- threatening bleeding episodes. Retired NASA
employee, Ted Gull, experienced a typical rapid onset of ITP. "It
all started during the holiday season when I just couldn't shake
the flu. Next thing I knew, I noticed deep purple bruises on my
body and persistent nose bleeds that never seemed to end," said
Gull. "A normal platelet count ranges from 150,000 to about 400,000
platelets/mL of blood while my count was nearly undetectable. I
could have bled to death." The disorder becomes life-threatening if
a patient's platelet count becomes so low that brain hemorrhaging
occurs. Hemorrhaging is the key concern for ITP patients. When
platelet counts are too low, internal bleeding can be difficult to
stop. Rarely, life-threatening bleeding occurs with intracranial
hemorrhage or other serious hemorrhaging. Childhood ITP is
typically resolved quickly - more than 70 percent of children with
ITP will have a spontaneous and permanent remission within one year
of onset. In contrast, the majority of adults have persistent ITP,
or "chronic state" ITP, that must be treated when platelets fall
below a critical level. After several treatments failed to raise
Gull's platelet count, his hematologist prescribed a regular
treatment regimen of Bayer's IGIV to keep his platelet count within
a safe range. Gull's wife, Connie, is a registered nurse, which
allows him to receive his IGIV treatments at home. "Getting infused
in an out-patient setting opened up my world again, allowing me and
my wife to travel the globe like we did before I was diagnosed,"
said Gull. "Not since my early days at NASA had I felt like I had
the entire galaxy at my disposal." He and his wife recently decided
to pack their bags (and their cooler to keep Gull's IGIV
refrigerated) and head to Hawaii for their 30th wedding
anniversary. Significance of Study This study resulted in the most
comprehensive prospective data on this patient population to date.
Although more than 100 studies on IGIV have been done since 1981
(the first report of the efficacy of IGIV in the treatment of ITP),
most were data analyses completed after treatment was started
(retrospective data analysis), and most were done in children. By
contrast, this was a prospective study that included both acute and
chronic patients, and looked at children and adults with ITP.
Ninety-seven patients were enrolled and randomized from 26 sites in
the United States, Canada, South Africa, and Israel. Seventy-five
percent of the patients were adults and 72 percent female.
Forty-eight patients were treated with Gamunex(R), Immune Globulin
Intravenous (Human), 10% Caprylate/Chromatography Purified, and 49
patients were treated with IGIV-S/D as a control group. Adverse
events observed in this study were consistent with those in
previous IGIV studies, and most frequently included headache,
vomiting, fever, nausea. Most were mild to moderate. For additional
information on Gamunex, see Full Prescribing Information at
http://www.gamunex.com/. About Gamunex Each vial of Gamunex
contains antibodies purified from the donated blood plasma of
thousands of people and can be a lifesaving therapy for individuals
with compromised or malfunctioning immune systems. The immune
system serves as the body's natural defense system, constantly
fighting off infections caused by harmful bacteria and viruses that
invade the body. When parts of the immune system are missing, as in
patients with primary immune deficiencies, the body is vulnerable
to attack by these invaders. In those cases, the broad spectrum of
antibodies in Gamunex acts as an immune system replacement and
provides a shield of protection against infection. For people with
autoimmune disorders and other conditions that cause the immune
system to malfunction, such as idiopathic thrombocytopenia purpura
(ITP), Gamunex acts as an immune modulator and resets the immune
system so it can function normally again. Gamunex(R), Immune
Globulin Intravenous (Human), 10% Caprylate/Chromatography
Purified, is formulated without sugar stabilizers, which have been
associated with severe adverse reactions in other IGIV products. In
addition Gamunex offers IGIV patients the unique combination of a
ready-to-use, highly purified, 10% formulation, and a safe and
rapid infusion rate, giving time back to patients and the health
care providers that care for them. About Bayer HealthCare AG Bayer
HealthCare AG, a subgroup of Bayer AG with sales of approximately
8.3 Billion Euro in 2003, is one of the world's leading, innovative
companies in the health care and medical products industry. The
company combines the global activities of the divisions Animal
Health, Biological Products, Consumer Care, Diagnostics, and
Pharmaceuticals. More than 34,000 people are employed by Bayer
HealthCare worldwide. Our aim is to discover and manufacture
innovative products that will improve human and animal health
worldwide. Our products enhance well-being and quality of life by
diagnosing, preventing, and treating disease. Forward-looking
Statements This news release contains forward-looking statements
based on current assumptions and forecasts made by Bayer Group
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 our public reports filed with the Frankfurt
Stock Exchange and with the U.S. Securities and Exchange Commission
(including our Form 20-F). The company assumes no liability
whatsoever to update these forward-looking statements or to conform
them to future events or developments. DATASOURCE: Bayer HealthCare
AG CONTACT: Tricia McKernan of Bayer, +1-919-316-6316, fax,
+1-919-316-6673, Web site: http://www.gamunex.com/
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