Eurand Pharmaceuticals, Inc., a subsidiary of global specialty
pharmaceutical company Eurand N.V. (NASDAQ: EURX), today announced
additional data from a post-hoc analysis of a Phase III clinical
trial with ZENPEP® (pancrelipase) Delayed-Release Capsules, an
FDA-approved pancreatic enzyme product (PEP) for the treatment of
exocrine pancreatic insufficiency (EPI) in patients with cystic
fibrosis (CF) or other conditions. The data is being presented
today at the 24th Annual North American Cystic Fibrosis Conference
in Baltimore, Md.
Results of a post-hoc analysis from the randomized,
double-blind, placebo-controlled crossover study of 34 patients
demonstrate that ZENPEP provided a significant and rapid
improvement of signs and symptoms of EPI in CF patients switched
from their previous PEPs, without additional reliance on proton
pump inhibitors (PPIs) and H2 receptor antagonists. Twenty of the
34 patients (58%) were taking PPIs or H2 antagonists prior to study
entry and discontinued them following enrollment in the study. PPIs
and H2s are prescribed to control gastric acid.
"These findings may suggest the potential for reducing pill
burden for patients with EPI due to CF," said Ruth Thieroff-Ekerdt,
M.D., Chief Medical Officer, Eurand Pharmaceuticals. "Patients can
expect ZENPEP to provide control of signs and symptoms as early as
day 2 of treatment, regardless of their concomitant medication with
gastric acid modifiers. H2 antagonists and PPIs are frequently
taken concomitantly with PEPs to improve their efficacy."
Study Results
In a Phase III randomized, double-blind, placebo-controlled
study of 34 patients with EPI due to CF, ZENPEP resulted in
significantly higher coefficient of fat absorption (a key indicator
of nutrient absorption in patients with CF) compared to placebo.
Enrolled patients discontinued PPIs/H2 antagonists and were
switched from previous PEPs to ZENPEP during a dose-titration and
stabilization period according to symptom control of EPI for six to
nine days prior to randomization (ZENPEP or placebo). In a post-hoc
analysis, a total symptom score index (TSI) was calculated from
patient-reported signs and symptoms of stool consistency, bloating,
flatulence, pain, and visible oil in stool.
At comparable doses, patients experienced significant and rapid
symptom improvement during the stabilization period when switched
from previous PEPs (mean dose 5,100 U lipase/kg/day) to ZENPEP
(mean dose 4,600 U lipase/kg/day). Symptom improvement, as measured
by the TSI, was observed as early as day 2 and was significant at
day 4 (P=0.017). There were no significant differences in TSI
scores between patients previously exposed to PPIs/H2 antagonists
and those who were not previously exposed to PPIs/H2 antagonists.
ZENPEP was well tolerated in all treatment periods, including the
stabilization period, and its safety profile was consistent with
those of other PEPs.
ZENPEP has been evaluated in clinical studies in adults and
children as young as one year old. ZENPEP is offered in four dosage
strengths -- 5,000, 10,000, 15,000 and 20,000 units of lipase -- to
allow for precise dosing and for potentially reduced pill burden,
and to meet the varied needs of infants, toddlers, adolescents and
adults with EPI. In addition, the contents of ZENPEP capsules may
be opened and sprinkled on soft acidic foods such as apple sauce.
This convenient option is a key attribute to address the needs of
patients who may have difficulty swallowing capsules, such as very
young patients or certain older patients.
About Exocrine Pancreatic Insufficiency
(EPI)
Exocrine Pancreatic Insufficiency (EPI) is the inability to
properly digest food due to a lack of digestive enzymes made by the
pancreas. EPI can result from a number of diseases, including
cystic fibrosis, pancreatic cancer, gastrointestinal surgery, and
chronic pancreatitis. The FDA estimates that more than 200,000
Americans suffer from EPI. If left untreated, EPI causes
malnutrition and, especially in CF patients, impaired growth in
children, compromised immune response and shortened life
expectancy.
Important Safety Information
ZENPEP has been approved with a Risk Evaluation and Mitigation
Strategy (REMS) to ensure that the benefits of the drug outweigh
its risks. As part of the REMS, a Medication Guide with important
dosing and safety information about ZENPEP will be handed out with
each new prescription and refill.
The REMS and Medication Guide address the risk associated with
the use of ZENPEP, including fibrosing colonopathy, a rare, serious
adverse reaction that has been reported following treatment with
high-dose use of pancreatic enzyme replacement therapy in the
treatment of cystic fibrosis patients. The total daily dose of
ZENPEP should not exceed 10,000 lipase units/kg of body weight/day,
and caution should be used with doses exceeding 2,500 lipase
units/kg of body weight per meal. Also, there is a theoretical risk
of transmission of viral disease, since ZENPEP, as other
porcine-derived pancreatic enzymes, is sourced from pancreatic
tissue from swine used for food consumption. No cases of
transmission of an infectious illness associated with the use of
porcine pancreatic extracts have been reported.
Care should be taken to ensure that ZENPEP is not chewed or
retained in the mouth to avoid irritation of oral mucosa and/or
loss of enzyme activity, and the capsules or beads should be
swallowed immediately with adequate amounts of liquid. Caution
should be exercised when using ZENPEP in patients with gout, renal
impairment, or hyperuricemia; porcine-derived pancreatic enzyme
products may increase blood uric acid levels. Caution should be
exercised for patients with known allergies to proteins of porcine
origin. In rare instances, severe allergic reactions including
anaphylaxis, asthma, hives, and pruritus have been reported with
other pancreatic enzyme products with different formulations of the
same active ingredient, pancrelipase, as that of ZENPEP.
In clinical trials assessing the short-term safety of ZENPEP,
the incidence of adverse events (regardless of causality) was
similar during double-blind ZENPEP treatment and placebo treatment.
The most commonly reported adverse events occurring in at least two
patients (greater than or equal to 6% of patients) included:
abdominal pain, flatulence, headache, cough, decreased weight,
early satiety, and contusion. The type and incidence of adverse
events were similar in children and adults.
For complete information about safety, warnings and precautions
for ZENPEP, please see full Prescribing Information and Medication
Guide at www.zenpep.com.
About Eurand
Eurand is a specialty pharmaceutical company that develops,
manufactures and commercializes enhanced pharmaceutical and
biopharmaceutical products based on its proprietary pharmaceutical
technologies. Eurand has had six products approved by the FDA since
2001 and has a pipeline of product candidates in development for
itself and its collaboration partners. Its technology platforms
include bioavailability enhancement of poorly soluble drugs, custom
release profiles and taste-masking orally disintegrating tablet
(ODT) formulations. Eurand is a global company with facilities in
the U.S. and Europe. For more information, visit
www.eurand.com.
Forward-Looking Statement
This release and oral statements made with respect to
information contained in this release, including statements about
the market potential of ZENPEP, constitute forward-looking
statements. Such forward-looking statements include those which
express plan, anticipation, intent, contingency, goals, targets or
future development and/or otherwise are not statements of
historical fact. The words "expects," "potentially," "anticipates,"
"could," "calls for" and similar expressions also identify
forward-looking statements. These statements are based upon
management's current expectations and are subject to risks and
uncertainties, known and unknown, which could cause actual results
and developments to differ materially from those expressed or
implied in such statements. Factors that could affect actual
results include, risks associated with our ability to market,
commercialize and achieve market acceptance for ZENPEP or to
develop or partner any of our other products and the uncertainty
surrounding the timing of the FDA's approval for Axcan's ULTRASE®
MT. A non-exclusive list of important factors that may affect
future results may be found in Eurand's filings with the Securities
and Exchange Commission, including its annual report on Form 20-F
and periodic reports on Form 6-K. Investors should evaluate any
statement in light of these important factors. Forward-looking
statements contained in this press release are made as of this
date, and we undertake no obligation to publicly update any
forward-looking statement, whether as a result of new information,
future events or otherwise. Actual events could differ materially
from those anticipated in the forward-looking statements.
Investor Contact: Bill Newbould Vice President, Investor
Relations Eurand N.V. +1 267-759-9335 Email Contact Media
Contacts: Jayme Maniatis/Rachel Gross Schwartz Communications
+1 781-684-0770 Email Contact
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