TIDMGWP 
 
RNS Number : 8106R 
GW Pharmaceuticals PLC 
31 August 2010 
 

                Health Canada Grants Full Approval of Sativex 
            For the Treatment of Spasticity Due to Multiple Sclerosis 
 
Porton Down, UK; Toronto, Canada - August 31, 2010 - GW Pharmaceuticals plc 
(AIM: GWP) and Bayer Inc., a subsidiary of Bayer AG, today announced that Health 
Canada has approved Sativex  [delta-9-tetrahydrocannabinol 27 mg/mL (from 
Tetrabinex  - cannabis sativa L. extract) and cannabidiol 25 mg/mL (from 
Nabidiolex  - cannabis sativa L. extract)] as adjunctive treatment for 
symptomatic relief of spasticity in adult patients with multiple sclerosis (MS). 
Sativex  is the first cannabinoid medicine derived from whole plant extracts 
from the cannabis sativa plant containing both delta-9-tetrahydrocannabinol and 
cannabidiol. This means that people in Canada with MS experiencing the 
debilitating symptoms of spasticity, such as painful spasms and cramps, will now 
have a new treatment option in addition to standard therapy. 
 
The MS spasticity indication has received a full marketing authorization, or 
Notice of Compliance (NOC), from Health Canada. Sativex  is useful as adjunctive 
treatment for symptomatic relief of spasticity in adult patients with MS who 
have not responded adequately to other therapy and who demonstrate meaningful 
improvement during an initial trial of therapy. In addition to this new NOC, 
Health Canada approved Sativex  in 2005 under its Notice of Compliance with 
Conditions (NOC/c) policy as adjunctive treatment for the symptomatic relief of 
neuropathic pain in adult patients with multiple sclerosis, and granted a 
further NOC/c approval in 2007 as adjunctive analgesic treatment in adult 
patients with advanced cancer who experience moderate to severe pain during the 
highest tolerated dose of strong opioid therapy for persistent background 
pain.1 
 
"Health Canada's approval of a third indication for Sativex  demonstrates the 
broad applications of this medicine," said Dr. Shurjeel Choudhri, Chief Medical 
Officer and Head, Medical and Scientific Affairs, Bayer Inc. "Sativex  meets a 
significant unmet medical need by improving the symptoms of spasticity in 
patients with MS who have failed to respond to current anti-spasticity 
medication. We believe that this approval represents an important step forward 
in the available treatment options for the MS patient population in Canada." 
 
Dr Stephen Wright, R&D Director, GW, said: "Following recent approvals in the UK 
and Spain, Canada is now the third major country to approve Sativex  for 
symptomatic relief of spasticity in adult patients with MS. This regulatory 
approval has come several months earlier than anticipated and GW looks forward 
to working with Bayer to develop the marketing strategy for this new indication. 
We are delighted that the international regulatory program for Sativex  is 
continuing its positive momentum." 
 
1 Sativex  Product Monograph, August 2010, p.6 
 
 
Enquiries: 
 
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About Sativex 
A product resulting from the pioneering research efforts of UK-based GW 
Pharmaceuticals plc and marketed in Canada by Bayer HealthCare Pharmaceuticals, 
Sativex  contains active ingredients called 'cannabinoids', which are extracted 
from cannabis plants grown and processed under strictly controlled conditions. 
Cannabinoids react with cannabinoid receptors that are distributed throughout 
the central nervous system and in immune cells.2 
 
The principal active cannabinoid components of Sativex  are THC and CBD, a 
non-psychoactive cannabinoid. The ratio of THC to CBD in Sativex  is 2.7mg:2.5mg 
per spray, ensuring a standardized dose is delivered each time it is used.3 
 
Standard marketing authorisation:4 
Sativex  is useful as adjunctive treatment for symptomatic relief of spasticity 
in adult patients with multiple sclerosis (MS) who have not responded adequately 
to other therapy and who demonstrate meaningful improvement during an initial 
trial of therapy. 
 
Marketing authorization with conditions:4 
Sativex  may be useful as adjunctive treatment for the symptomatic relief of 
neuropathic pain in adult patients with MS. 
 
Marketing authorization with conditions:4 
Sativex  may be useful as adjunctive analgesic treatment in adult patients with 
advanced cancer who experience moderate to severe pain during the highest 
tolerated dose of strong opioid therapy for persistent background pain. 
 
Marketing authorizations with conditions reflect the promising nature of the 
clinical evidence which are to be confirmed with further studies. 
 
Treatment-emergent adverse events in clinical trials with Sativex  which 
occurred with a greater than 10 per cent frequency in patients with MS included 
fatigue and dizziness. In patients with pain in cancer, these adverse events 
included nausea, neoplasm progression, somnolence and dizziness. In most 
patients, adverse events have resolved without treatment, and some with a 
reduction of dosage of Sativex .5 
 
Sativex  is a registered trade mark of GW Pharmaceuticals and GW Pharmaceuticals 
is the Marketing Authorisation holder for Sativex . 
 
 
2 Health Canada. "Approval of SATIVEX(R) with Conditions Fact Sheet." Available 
at 
http://www.hc-sc.gc.ca/dhp-mps/prodpharma/notices-avis/conditions/sativex_fs_fd 
091289-eng.php (last accessed 26/08/10) 
3 Sativex  Product Monograph - August 2010, p. 52 
4 Sativex  Product Monograph - August 2010, p. 1 
5 Sativex  Product Monograph - August 2010, p.13-19 
 
 
About MS 
Multiple sclerosis (MS) is a degenerative neurological condition, which is 
associated with a wide range of distressing and disabling signs and 
symptoms.6 MS is the most common disabling disease of the CNS affecting young 
adults and is usually diagnosed between the ages of 20 and 40 years..MS is twice 
as common in women than in men.7 An estimated 55,000-75,000 Canadians have MS.8 
 
About spasticity 
Spasticity is a common symptom associated with Multiple Sclerosis (MS)9 and is a 
major contributor to disability.10 It is caused by damage to the nerves in the 
central nervous system which carry messages instructing muscles how to move 
resulting in an involuntary muscle overactivity.11 
 
In a survey, 84% of people with MS reported symptoms of spasticity12. Moderate, 
severe or total spasticity is reported in 34% of individuals.11 Symptoms include 
loss of mobility, painful spasms, stiffness and / or weakness of muscles.10 As a 
consequence an individual may have difficulty in walking, picking up objects, 
washing, dressing and other everyday activities involving movement.9 In addition 
to causing a great deal of distress to the person with MS, mood, self-image and 
motivation can also be affected.13 
 
6 Health Canada. "Approval of SATIVEX(R) with Conditions Fact Sheet." Available 
at 
http://www.hc-sc.gc.ca/dhp-mps/prodpharma/notices-avis/conditions/sativex_fs_fd 
091289-eng.php  (last accessed 26/0810) 
7 Multiple Sclerosis Trust. MS Explained. 2008. Available at 
http://www.mstrust.org.uk/information/publications/msexplained  (Last accessed: 
26/08/10) 
8 MS Society of Canada. Available at 
http://mssociety.ca/en/information/ms_what.htm  (last accessed 26/08/10) 
9 Multiple Sclerosis Trust. Multiple Sclerosis Information for Health and Social 
Care Professionals. 2007. Available at 
http://www.mstrust.org.uk/downloads/ms_information_for_hps.pdf   (Last accessed: 
26/08/10). 
10 Beard S, et al. Health Technol Assess 2003;7(40) 
11 Multiple Sclerosis Trust. Spasticity and Spasms factsheet. November 2009 
12 Rizzo MA, et al. Prevalence and treatment of spasticity reported by multiple 
sclerosis patients. Multiple Sclerosis 2004;10:589/595 
13 Multiple Sclerosis International Federation. Spasticity in MS. MS in focus. 
Issue 12. 2008. Available at http://www.msif.org/docs/MSinFocusIssue12EN.pdf 
(Last accessed: 26/08/10). 
 
About Bayer Inc. 
Bayer Inc. (Bayer) is a Canadian subsidiary of Bayer AG, an international 
research-based group with core businesses in health care, crop science and 
innovative materials. Headquartered in Toronto, Ontario, Bayer Inc. operates the 
Bayer Group's HealthCare and MaterialScience businesses in Canada. Bayer 
CropScience Inc., headquartered in Calgary, Alberta operates as a separate legal 
entity in Canada. Together, the companies play a vital role in improving the 
quality of life for Canadians - producing products that fight diseases, 
protecting crops and animals, and developing high-performance materials for 
applications in numerous areas of daily life. Canadian Bayer facilities include 
the Toronto headquarters and offices in Montréal and Calgary. 
 
Bayer Inc. has approximately 800 employees across Canada and had sales of $853 
million CDN in 2009. Globally, the Bayer Group had sales of over 31 billion Euro 
in 2009. Bayer Inc. invested approximately $50 million CDN in research and 
development in 2009. Worldwide, the Bayer Group spent the equivalent of over 2.7 
billion Euro in 2009 in R&D. For more information, go to www.bayer.ca. 
 
About GW Pharmaceuticals 
GW was founded in 1998 and is listed on the AiM, a market of the London Stock 
Exchange.  Operating under licence from the UK Home Office, the company 
researches and develops cannabinoid pharmaceutical products for patients who 
suffer from a range of serious ailments, in particular MS and cancer pain.  GW 
has assembled a large in-house scientific team with expertise in cannabinoid 
science as well as experience in the development of both plant based 
prescription pharmaceutical products and medicines containing controlled 
substances. GW occupies a world leading position in cannabinoids and has 
developed an extensive international network of the most prominent scientists in 
the field. 
 
For further information, please visit www.gwpharm.com 
 
This news release may contain forward-looking statements that reflect GW's 
current expectations regarding future events, including the clinical development 
and regulatory clearance of its products. Forward-looking statements involve 
risks and uncertainties. Actual events could differ materially from those 
projected herein and depend on a number of factors, including (inter alia), the 
success of GW's research strategies, the applicability of the discoveries made 
therein, the successful and timely completion of clinical studies, including 
with respect to Sativex and GW's other products, the uncertainties related to 
the regulatory process, and the acceptance of Sativex and other products by 
consumers and medical professionals. 
 
This new 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 www.bayer.ca. The company assumes no liability whatsoever to 
update these forward-looking statements or to conform them to future events or 
developments. 
 
 
 
 
 
This information is provided by RNS 
            The company news service from the London Stock Exchange 
   END 
 
 MSCSEWESUFSSEIA 
 

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