Hepatitis
C Virus DNA Vaccine Shows Safety When Delivered by Inovio Biomedical's Electroporation
Delivery System in Phase I/II Clinical Study at Karolinska University Hospital
SAN
DIEGO, Mar 17, 2008 (BUSINESS WIRE) -- Inovio Biomedical Corporation (AMEX:INO),
a leader in enabling the development of DNA vaccines using electroporation-based
DNA delivery, announced today that its partner, Tripep AB of Sweden, has reported
preliminary results from the first patient to complete treatment with Tripep's
therapeutic hepatitis C virus (HCV) vaccine, ChronVac-C, which was delivered using
Inovio's electroporation-based DNA delivery system. In
this phase I/II clinical study, the treatment has so far been safe and tolerable.
Samples taken before, during and after treatment showed that before vaccination
the patient did not have a detectable cell-mediated immune response against HCV
but such an immune response became detectable after treatment was completed. Inovio's
electroporation delivery technology is intended to enhance the potency of DNA-based
immunotherapies, including DNA vaccines, against cancers and infectious diseases.
ChronVac-C is a therapeutic DNA vaccine being given to individuals already
infected with hepatitis C virus with the aim to clear the infection by boosting
a cell-mediated immune response against the virus. It is known that patients who
spontaneously clear their infection have also developed this type of immune response.
This clinical study is being conducted at the Infectious Disease Clinic
and Center for Gastroenterology at the Karolinska University Hospital in Huddinge
and Solna (Sweden), respectively. Intended enrollment is 12 patients divided into
three dose groups with increasing doses of ChronVac-C. Each patient receives four
ChronVac-C vaccinations one month apart. After the last vaccination, patients
are followed for another six months. The study's main purpose is to assess safety.
It is also testing whether the treatment boosts the immune response to HCV and
its effect on virus replication in the liver. If the patient is completely virus-free
six months after completing treatment, he/she will be considered cured. This first
reported data was from the first patient in the lowest dose group. Five patients
have been treated and no unexpected side effects have been observed.
"We
are pleased that this first infectious disease DNA vaccine to be delivered in
humans using electroporation-based DNA delivery has provided initial evidence
of being safe and inducing a cell mediated immune response against the hepatitis
C virus," stated Avtar Dhillon, MD, Inovio's president and CEO. "We
look forward to seeing additional data, particularly from the higher dose groups,
relating to this potential treatment to a pervasive and difficult-to-treat disease."
About Hepatitis C and ChronVac-C
Hepatitis
is a disease characterized by inflammation of the liver. Hepatitis C virus (HCV)
is spread primarily by direct contact with human blood, the major causes worldwide
being the use of unscreened blood transfusions and re-use of inadequately sterilized
needles and syringes. As many as 70% - 90% of newly infected patients may progress
to develop chronic infection (WHO: 2002). Of those with chronic liver disease,
5% - 20% may develop cirrhosis. About 5% of infected persons may die from the
consequences of long term infection (due to liver cancer or cirrhosis). Globally,
an estimated 170 million people are chronically infected with HCV, representing
a reservoir sufficiently large for HCV to persist, and 3 to 4 million persons
are newly infected each year. In the US, while new incidences of HCV have dropped
dramatically, an estimated 4.1 million Americans have been infected with HCV,
of whom 3.2 million are chronically infected (Centers for Disease Control and
Prevention: 2006). The total market for therapies against hepatitis C infections
is estimated to be over 2 billion dollars and is expected to grow to more than
8 billion dollars by 2015.
HCV infections in the liver do not trigger
an immune response very effectively. Certain antiviral therapies, while expensive,
are somewhat effective in treating hepatitis C. There is no vaccine currently
available to prevent hepatitis C. ChronVac-C is a therapeutic DNA vaccine designed
with the aim of stimulating the body's immune system. Animal experiments demonstrated
that ChronVac-C vaccination activated B-cells and T-cells (the latter being regarded
as the most significant to clearing the chronic infection relating to hepatitis
C) that killed cells producing HCV protein. In humans, the ChronVac-C DNA plasmid
is being injected into muscle tissue, where vaccinations are usually given, and
taken up by muscle cells with the assistance of Inovio's electroporation-based
DNA delivery system. These muscle cells are expected to produce predetermined
antigens that may activate the body's immune system to attack all cells producing
HCV proteins.
About Tripep AB
Tripep
AB is a Swedish biotechnology research company that develops and commercializes
candidate drugs based on patented and proprietary technologies. Its main focuses
are research and clinical development of ChronVac-C, a therapeutic vaccine against
hepatitis C; preclinical research focusing on the development of therapeutic and
prophylactic vaccines against influenza A and HIV; and the RAS technology platform.
More information is at www.tripep.se.
About
Inovio Biomedical Corporation
Inovio Biomedical (AMEX:INO)
is focused on developing multiple DNA-based immunotherapies and DNA vaccines.
Inovio is a leader in developing human applications of electroporation which uses
brief, controlled electrical pulses to increase cellular uptake of a useful biopharmaceutical.
Human data has shown that Inovio's electroporation-based DNA delivery technology
can significantly increase gene expression and immune responses from DNA vaccines.
Immunotherapy partners include Merck, Wyeth, Vical, University of Southampton,
Moffitt Cancer Center, the U.S. Army, National Cancer Institute, and International
Aids Vaccine Initiative. Inovio's technology is protected by an extensive patent
portfolio covering in vivo electroporation. More information is available at www.inovio.com. Dynavax
and Merck & Co., Inc. Report Clinical Hold of Investigational Vaccine HEPLISAV
Berkeley,
CA and Whitehouse Station, NJ -- March 17, 2008 - Dynavax Technologies Corporation
(Nasdaq: DVAX) and Merck & Co., Inc. announced today that the U.S. Food and
Drug Administration (FDA) has placed a clinical hold on the two Investigational
New Drug (IND) applications for HEPLISAV, an investigational hepatitis B vaccine
being jointly developed for use in adults by Dynavax and Merck. A clinical hold
is an order issued by FDA to the sponsor to delay a proposed clinical trial or
suspend an ongoing clinical trial.
The FDA has placed the clinical hold
on the investigational vaccine because of a serious adverse event (SAE) that occurred
in one subject who received HEPLISAV in a Phase 3 study being conducted outside
the United States. The subject was preliminarily diagnosed as having Wegener's
granulomatosis, an uncommon disease in which the blood vessels are inflamed. All
subjects in this Phase 3 study have received all doses per the study protocol
and all will continue to be monitored. Administration of vaccine has been suspended
in the only study of HEPLISAV in which injections were being administered actively,
a fully enrolled Phase 2 study in End Stage Renal Disease subjects being conducted
in Canada. A total of approximately 2,500 individuals have been vaccinated with
more than 5,000 doses of HEPLISAV in 10 clinical trials spanning approximately
seven years. There were no prior reports of Wegener's granulomatosis in these
trials.
No additional clinical trials with HEPLISAV will be initiated until
the clinical hold has been resolved. Dynavax and Merck, along with additional
collaborators, including clinical investigators and leading experts, are evaluating
the medical history of the individual who experienced the SAE to understand better
the timing and onset of the disease symptoms, including whether it was a pre-existing
condition or was related to vaccine administration.
About
Dynavax
Dynavax Technologies Corporation discovers, develops,
and intends to commercialize innovative TLR9 agonist-based products to treat and
prevent infectious diseases, allergies, cancer, and chronic inflammatory diseases
using versatile, proprietary approaches that alter immune system responses in
highly specific ways. Our TLR9 agonists are based on immunostimulatory sequences,
or ISS, which are short DNA sequences that enhance the ability of the immune system
to fight disease and control chronic inflammation. Our product candidates include:
HEPLISAV, a hepatitis B vaccine in Phase 3 partnered with Merck & Co. Inc.;
TOLAMBA, a ragweed allergy immunotherapy in Phase 2; a therapy for non-Hodgkin's
lymphoma (NHL) in Phase 2 and for metastatic colorectal cancer in Phase 1; and
a therapy for hepatitis B also in Phase 1. Our preclinical asthma and COPD program
is partnered with AstraZeneca. The National Institutes of Health (NIH) partially
funds our preclinical work on a vaccine for influenza. Symphony Dynamo, Inc. (SDI)
funds our colorectal cancer trials and our preclinical hepatitis C therapeutic
program, and Deerfield Management has committed funding for our allergy programs.
While Deerfield, NIH and SDI provide program support, Dynavax has retained rights
to seek strategic partners for future development and commercialization. For more
information, please visit http://www.dynavax.com.
About
Merck
Merck & Co., Inc. is a global research-driven
pharmaceutical company dedicated to putting patients first. Established in 1891,
Merck currently discovers, develops, manufactures and markets vaccines and medicines
to address unmet medical needs. The Company devotes extensive efforts to increase
access to medicines through far-reaching programs that not only donate Merck medicines
but help deliver them to the people who need them. Merck also publishes unbiased
health information as a not-for-profit service. For more information, visit www.merck.com. |