New
Experimental HBV Drug Pradefovir from Valeant Pharmaceuticals Shows Promising
24-week Interim Results in Phase 2 Study
Valeant Pharmaceuticals
reports promising 24-week interim data from a Phase 2 study of its oral antiviral
compound pradefovir.
The company is evaluating the safety and efficacy of pradefovir for the treatment
of compensated chronic hepatitis B. Following is an edited version of the Valeant
announcement:
Pradefovir is a prodrug
of adefovir
dipivoxil (Hepsera) that was licensed from
Metabasis Therapeutics. Pradefovir uses Metabasis’ HepDirect™ technology which
enables higher concentrations of the drug in the liver, the primary site of hepatitis
B viral (HBV) replication.
The Phase 2 study is an
open-label, randomized, multiple dose study with 242 patients enrolled at 21 sites
in the United States, Taiwan, Singapore and Korea. Approximately half of the patients
had been previously treated unsuccessfully with other drugs and 70 percent of
the patients were HBeAg
positive.
Patients that have been previously treated ineffectively are considered to be
more difficult to treat.
The Phase 2 study consists
of five treatment groups: pradefovir – 5, 10, 20 and 30 mg/day (QD), and Hepsera
– 10 mg/day (QD), with an overall treatment duration of 48 weeks. The interim
24-week data indicate that pradefovir demonstrated a significant decline in HBV
DNA summarized as follows:
Pradefovir
Phase 2 Study: 24-week Interim Results
| |
Dose |
Number
of Patients | Baseline
Mean HBV DNA (Log10 copies/mL) |
Week
24 Mean Decline in HBV DNA |
p-Value
Compared to Hepsera Control |
|
Hepsera |
10 mg QD |
50 |
8.0 |
-3.66 |
N/A |
|
P
r a d e f o v i r |
5 mg QD |
47 |
7.9 |
-3.39 |
0.262 |
|
10 mg QD |
49 |
7.9 |
-4.22 |
0.012 |
|
20 mg QD |
48 |
8.0 |
-4.33 |
0.004 |
|
30
mg QD | 48 |
8.2 |
-5.02 |
<0.001 |
The interim results have
shown no evidence of nephrotoxicity. There were no serious
adverse events related to treatment. The most frequently reported adverse events
were similar across all treatment groups, including Hepsera. No dose-related trends
regarding safety were identified and no events resulted in a patient being withdrawn
prematurely from treatment. Kim D. Lamon, M.D., Ph.D., president, research and
development and chief scientific officer, said, “The pradefovir interim results
are very promising and better than expected, particularly in a study where approximately
half of the patients previously received therapy that was ineffective. Current
treatment medicines have encountered resistance after prolonged use and some have
dose-limiting adverse events. If the clinical results continue to be successful,
pradefovir could provide physicians with a new treatment alternative that will
significantly improve patient outcomes.”
The detailed Phase 2 interim
results are expected to be submitted for presentation at the 56th
Annual Meeting of the American Association for the Study of Liver Diseases (56th
AASLD) to
be held in November 2005. Patient participation in the Phase 2 trial is expected
to be completed early in 2006. Valeant plans to review the interim results with
the Food and Drug Administration (FDA).
About Valeant
Valeant Pharmaceuticals
International is a global, publicly traded, research-based specialty pharmaceutical
company that discovers, develops, manufactures and markets pharmaceutical products
primarily in the areas of neurology, infectious disease and dermatology. More
information about Valeant can be found at www.valeant.com
07/22/05
Source
Valeant Pharmaceuticals. Valeant Pharmaceuticals
Reports Promising Data from Pradefovir Mesylate Phase 2 Study. Press Release.
July 19, 2005.