SciClone
And Sigma-Tau Report Promising Interim Results From Phase 3 Hepatitis C TrialFebruary
12, 2008. SciClone Pharmaceuticals, Inc. (NASDAQ: SCLN) and Sigma-Tau S.p.A reported
promising blinded interim data from a large, randomized phase 3 clinical trial
evaluating Zadaxin (thymalfasin) in combination
with pegylated interferon alpha and ribavirin as a treatment for patients with
hepatitis C virus (HCV) who have not responded to prior therapy with pegylated
interferon alpha and ribavirin. Full unblinded data from the trial will be available
in the third quarter of 2008. 48
Week End of Treatment Response The interim blinded HCV data
show that at the end of 48 weeks of therapy, 171 out of 553 total patients, including
both treatment and control group patients, responded to treatment. A response
to treatment is defined as having no detectable HCV RNA circulating in the blood
at the end of 48 weeks of therapy. 72
Week Sustained Virologic Response Of the 171 patients who responded
after 48 weeks of therapy, 150 patients have completed the 24-week follow up period (72 week observation)
and 54 patients have achieved a sustained virologic response (SVR). Of the remaining
21 patients who responded at the end of therapy, 12 were HCV negative at week
60 (12-week follow-up observation period), and two had yet to reach the week 60
follow-up point. All patients will complete the observation period by the end of the second
quarter 2008. While
these data include both treatment and control group patients, SciClone and Sigma-Tau
believe the trend is promising in light of other recent clinical trial results
in non-responder HCV patients retreated with only pegylated interferon alpha and
ribavirin which demonstrated SVR rates of 3% to 8% at the 72 week observation
point. If the final results of this trial are positive, SciClone and Sigma-Tau
plan to meet with the regulatory authorities in the United States and Europe to
determine the most expeditious process to bring this therapy to the market.
"These interim HCV data are promising because, although we do not know
the breakdown between thymalfasin treated and control group patients who have
achieved an SVR, this is already a strong overall response for non-responder patients.
We look forward to reporting full data from this trial in the third quarter of
2008," said Mario Rizzetto, MD, Professor of Gastroenterology, San Giovanni
Battista Hospital, University of Torino, Italy, and lead investigator of the trial.
"Thymalfasin's mechanism of action as an immune stimulator may prove to be
ideal in the treatment of chronic hepatitis C, where the immune system is suppressed
and cannot effectively fight the disease on its own." "We
believe that thymalfasin could represent an important advance in the treatment
of hepatitis C patients and address a growing and acute unmet need. We estimate
that nearly 1 million HCV patients in the United States alone have failed or will
fail currently approved therapy, particularly those who have not responded to
prior therapy," stated Friedhelm Blobel, PhD, President and Chief Executive
Officer of SciClone Pharmaceuticals, Inc. "The treatment approach for HCV
using a combination of thymalfasin
together with pegylated interferon plus ribavirin is patent protected by SciClone
in most major markets including the United States and Europe until 2021."
Thymalfasin Phase 3 Programs "The information from these
interim data is important in determining the optimal phase 3 development pathway
for thymalfasin," noted Dr. Blobel. "In light of the promising interim
data, we and Sigma-Tau are analyzing the many factors relative to our thymalfasin
HCV and malignant melanoma programs." In June 2007, SciClone reported
positive phase 2 clinical trial results from Sigma-Tau's 488 patient study demonstrating
thymalfasin met its primary endpoint in tumor response and, more importantly shows
promise in extending survival for patients diagnosed with stage IV malignant melanoma.
The companies are planning the design of a phase 3 melanoma
trial and their regulatory strategy including a Special Protocol Assessment (SPA)
to be filed with the Food and Drug Administration. Thymalfasin phase 3 clinical
development and commercialization plans
for HCV and melanoma have potentially significantly different timelines, costs,
sizes of prospective addressable markets, competitive
products and other factors. Consequently, before proceeding further with the melanoma
trial, SciClone and Sigma-Tau will review the final 72 week results for the current
HCV clinical trial in the third quarter of 2008 in order to determine the next
steps for an optimal thymalfasin development program for the HCV and malignant
melanoma indications. Thymalfasin
Triple Therapy for HCV The ongoing phase 3, multi-center,
double-blinded, randomized study enrolled 553 predominately genotype 1 HCV patients
who have not responded to previous treatment with pegylated interferon alpha and
ribavirin. Patients were randomized, in a one-to-one ratio, to receive either
thymalfasin or a placebo, and all patients received pegylated interferon alpha
and ribavirin. After completing 48 weeks of treatment, patients are monitored
twice during a 24-week observation period at week 60 and week 72. The
primary endpoint of the trial is sustained virological response (SVR), defined
as the absence of HCV RNA measured at week 72, which is the end of the 24-week
observation period. The secondary endpoints are normalization of ALT (an enzyme
that when present in increased levels is an indicator of inflammation or damage
of the liver) measured at the end of weeks 48 and 72, absence of HCV RNA measured
at week 48, and an improvement in liver biopsy. Details of the study design and
preliminary blinded safety data were reported by Professor Rizzetto at the “Thymosins
in Health and Disease First International Symposium” held last year in Washington,
D.C. and also were published in September 2007 in a special edition of the Annals of the New York Academy of Sciences. The design of
this phase 3 clinical trial is derived from the positive results from a 2005 pilot
study conducted by a team led by Jorge L. Poo, MD, Chief Scientific Officer of
CIF-Biotech at the Medica Sur hospital in Mexico City. This study evaluated the
use of thymalfasin in combination with
pegylated interferon alpha 2a [Pegasys] and ribavirin to treat 40 patients who
had not responded to prior therapy with the non-pegylated form of interferon and
ribavirin. Measured on an intent-to-treat basis, this small study demonstrated
a 22% SVR for the most difficult to treat genotype 1 patients. Triple
therapy, the addition of another agent to the combination
of pegylated interferon alpha and ribavirin, is now an accepted approach in efforts
to develop a new therapeutic regimen that may provide HCV patients with a potentially
better chance to reach a sustained virological response. SciClone was a pioneer
in developing the triple therapy approach, and today several drug developers are
combining their drug in a triple therapy
regimen for HCV clinical trials, typically after discovering that their drug alone
or in combination with only pegylated
interferon alpha did not provide satisfactory results in comparison to the standard therapy of pegylated interferon
and ribavirin. In 2005 and 2006, SciClone completed
two phase 3 clinical trials using thymalfasin in combination
with pegylated interferon without ribavirin. Although those trials did not show
statistical significance in the thymalfasin treatment arm, a positive thymalfasin-related
trend was observed in SVR. About
Thymalfasin
Zadaxin, scientifically referred to as thymalfasin or thymosin alpha
1, is SciClone's synthetic preparation of thymalfasin, a thymic peptide which
circulates in the blood naturally, and is instrumental in the immune response
to certain cancers and viral infections. Published scientific and clinical studies
have shown that thymalfasin helps stimulate and direct the body's immune response
to eradicate infectious diseases like HCV and HBV, as well as certain cancers.
Thymalfasin appears to be well tolerated with few reports of significant side
effects or toxicities associated with its use. Thymalfasin elicits a
variety of immune system responses against viruses. One such response is an increase
in production of certain subsets of white blood cells and their differentiation
into CD-4 helper-cells, specifically towards differentiation into the Th1 subset
of CD-4 helper cells (Th1 cells secrete cytokines such as interleukin-2 (IL-2)
and gamma interferon that can help the immune response). Moreover, as thymalfasin
increases differentiation into Th1 cells, it also results in decreased CD4 cell
differentiation into the Th2 subset of CD4 helper cells that produce cytokines,
such as IL-4, which are associated with persistence of viral infection. In addition,
thymalfasin stimulates several other components
of the immune response that help the body attack and kill virally-infected cells.
About SciClone SciClone Pharmaceuticals is
a biopharmaceutical company engaged
in the development of therapeutics to treat life-threatening diseases. SciClone's
lead product Zadaxin is currently being evaluated in late-stage clinical trials
for the treatment of hepatitis C and malignant melanoma. Zadaxin is approved for
sale in select markets internationally, most notably in China where SciClone has
an established sales and marketing operation. A key part of SciClone's strategy
is to leverage its advantage and broaden its portfolio in the rapidly growing
Chinese market by in-licensing or acquiring the marketing rights to other products,
such as DC Bead. For the U.S. market, SciClone's other clinical-stage drug development
candidates are RP101 for the treatment of pancreatic cancer and SCV-07 for the
treatment of hepatitis C. For
more information about SciClone, visit http://www.sciclone.com. |