ADVENTRX Announces Results From ANX-514 Bioequivalence Study
08 May 2009 - 6:35AM
PR Newswire (US)
- Updates guidance regarding strategic transaction process SAN
DIEGO, May 7 /PRNewswire-FirstCall/ -- ADVENTRX Pharmaceuticals,
Inc. (NYSE Amex: ANX) today announced results from its
bioequivalence study of ANX-514 (docetaxel emulsion). ANX-514 was
determined to have comparable overall safety as Taxotere(R), the
reference product, with no differences between treatment groups in
severe toxicities. However, pharmacokinetic equivalence, the
primary endpoint of the study, was not demonstrated based on
benchmark regulatory standards. "Following discussions with
clinicians and experts in taxane pharmacokinetics, we believe that
the increased blood-levels of docetaxel, which we observed solely
during the first hour of a 168-hour observation period, do not
affect the safety or efficacy of the drug and are not clinically
relevant, and that our pharmacokinetic data should be sufficient to
support an NDA for ANX-514," said Brian M. Culley, Chief Business
Officer of ADVENTRX. "In addition, we have not fully investigated
whether variability with respect to study drug administration
and/or blood sample collection may have affected the results.
However, the FDA is the final arbiter of safety and efficacy and,
following discussion with the Agency, we will have more insight
into whether additional pre-clinical and/or clinical activities may
be necessary before submitting an NDA for ANX-514." "The
possibility of additional activities creates uncertainty around the
cost and timeline to FDA approval of ANX-514, which may adversely
impact our on-going strategic transaction discussions," Mr. Culley
continued. "Consequently, and in light of our current working
capital, we are evaluating both our strategic and non-strategic
options." The study data revealed higher blood-levels of docetaxel
during and immediately following infusion of study drug (i.e.,
during the first hour of treatment) in patients receiving ANX-514
relative to those receiving Taxotere, but, at 10 minutes after the
completion of infusion, docetaxel blood-levels were comparable and
remained so through the end of the observation period. The Company
is analyzing these short-term increased levels, which were the
reason ANX-514 was outside the bounds established by the FDA for
determining bioequivalence. Analyzing blood-levels at all time
points beginning 10 minutes after the completion of drug
administration, pharmaceutical equivalence of ANX-514 and Taxotere
was observed. The bioequivalence study of ANX-514 was an
open-label, two-period, randomized, crossover comparison of ANX-514
and Taxotere in patients with advanced cancer potentially sensitive
to docetaxel. The primary objective was demonstrating the
pharmacokinetic equivalence of ANX-514 and Taxotere and determining
the safety of a single dose of ANX-514 was a secondary objective.
On Day 1, patients were dosed with either ANX-514 or Taxotere and,
on Day 22, were dosed with the other drug. Patients were
premedicated with corticosteroids prior to treatment on Day 1 and
on Day 22. The FDA has indicated that this single bioequivalence
study, should it demonstrate pharmacokinetic equivalence between
ANX-514 and Taxotere, would provide sufficient data to support an
NDA. Pharmacokinetic equivalence was assessed by a statistical
comparison of both the areas under the curve (AUC) and maximum
plasma concentrations (Cmax) and determined based on federal
regulations and FDA guidance regarding bioequivalence studies. If
the upper and lower bounds of the AUC ratio's and the Cmax ratio's
90% confidence interval ranged from 0.80 to 1.25, ANX-514 and
Taxotere would be considered to have equivalent pharmacokinetics.
Pursuant to the study's protocol and statistical analysis plan,
data from 31 patients who received both study drugs, had no major
violations of the inclusion/exclusion criteria and had complete
pharmacokinetic data were included in the analysis. About ANX-514
(docetaxel emulsion) ANX-514 is a novel nano-emulsion formulation
of the chemotherapy drug docetaxel, a formulation of which is
marketed under the brand name Taxotere. ANX-514 is formulated
without polysorbate 80 or other detergents and is intended to
reduce the severity and/or incidence of hypersensitivity reactions.
Docetaxel is an anti-cancer agent that acts by disrupting the
cellular microtubular network that is essential for cell division.
Immunosuppressant premedication is recommended for docetaxel
therapy to reduce the incidence and severity of hypersensitivity
reactions. Docetaxel is approved to treat breast, non-small cell
lung, prostate, gastric and head and neck cancers. About ADVENTRX
Pharmaceuticals ADVENTRX Pharmaceuticals is a biopharmaceutical
company whose proprietary product candidates are designed to
improve the safety and commercial potential of existing cancer
treatments. In December 2008, the Company announced that it is
exploring a range of strategic options, including the sale or
disposition of one or more of its product candidate programs, a
strategic business merger and other transactions that maximize the
value of the Company's assets. In January and March 2009, the
Company announced headcount reductions and cost containment
measures to provide additional time to consummate a strategic
transaction or otherwise obtain financing. More information can be
found on the Company's web site at http://www.adventrx.com/.
Forward Looking Statements ADVENTRX cautions you that statements
included in this press release that are not a description of
historical facts are forward-looking statements that involve risks
and assumptions that, if they materialize or do not prove to be
accurate, could cause ADVENTRX's results to differ materially from
historical results or those expressed or implied by such
forward-looking statements. These risks and uncertainties include,
but are not limited to: the risk that ADVENTRX will be unable to
consummate a strategic transaction on a timeline it believes is
acceptable, divests its assets on best-available terms and entirely
winds-down its operations; the risk that ADVENTRX will be unable to
consummate a strategic or partnering transaction or otherwise raise
sufficient capital and will be unable to continue as a going
concern, including as a result of negative perceptions of the data
from its bioequivalence study of ANX-514; the risk that ADVENTRX's
recent cost-containment measures, including the discontinuation of
substantially all of its development activities and fundamental
business operations and reduction in force to a small, select
number of full-time employees, will negatively impact ADVENTRX's
ability to consummate a strategic transaction; the potential for
regulatory authorities to require additional preclinical and/or
clinical activities to support regulatory filings, including prior
to the submission or the approval of an NDA for ANX-514, and the
impact of increased uncertainty regarding the need for such
activities on strategic, partnering and capital-raising
transactions; the risk that the performance of third parties on
whom ADVENTRX relies to conduct its studies or evaluate the data,
including clinical investigators, expert data monitoring
committees, contract laboratories and contract research
organizations, may be substandard, or they may fail to perform as
expected; difficulties or delays in obtaining regulatory approval
for ANX-514, including validating commercial manufacturers and
suppliers and the potential for automatic injunctions regarding FDA
approval of ANX-514 and other challenges by patent holders during
the Section 505(b)(2) process; the risk that ADVENTRX's
stockholders will not approve a strategic or capital-raising
transaction recommended by ADVENTRX's Board of Directors; and other
risks and uncertainties more fully described in ADVENTRX's press
releases and periodic filings with the Securities and Exchange
Commission. ADVENTRX's public filings with the Securities and
Exchange Commission are available at http://www.sec.gov/. You are
cautioned not to place undue reliance on these forward-looking
statements, which speak only as of the date when made. ADVENTRX
does not intend to revise or update any forward-looking statement
set forth in this press release to reflect events or circumstances
arising after the date on which it was made. DATASOURCE: ADVENTRX
Pharmaceuticals, Inc. CONTACT: Brian Culley of ADVENTRX
Pharmaceuticals, Inc., +1-858-552-0866 Web Site:
http://www.adventrx.com/
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