Living Cell Technologies Limited
(ASX:LCT)(OTCQX:LVCLY), a global company pioneering the
development of a cell implant to treat diabetes, today provided a
penultimate update regarding the three-year follow up of its Phase
I/IIa clinical trial in Russia of its DIABECELL® treatment in
insulin-dependent diabetics. The data analysis has confirmed that
the trial has successfully met its end points of demonstrating
safety and tolerability. In addition, the groundbreaking treatment
has shown proof of principle of efficacy in humans with
insulin-dependent (Type 1) diabetes. These results have been
accepted for oral presentation at the scientific meeting of the
American Diabetes Association in June. These positive data, taken
together with positive progress in LCT’s Phase II trial in New
Zealand, provide encouragement to progress DIABECELL® further
towards commercialisation.
Prof. Bob Elliott, LCT Medical Director said, “We are pleased
that our treatment has shown so far to be safe and well tolerated.
We are encouraged that we have demonstrated that DIABECELL® may be
safely administered up to three times and that we have seen
evidence of continuing efficacy exemplified by the patients clearly
showing reduced HbA1c levels as well as the daily dose of insulin
injections, with better control over their blood glucose levels.
Patients volunteered that they sensed greater well being.”
DIABECELL® is LCT’s treatment designed to normalise the lives of
people with insulin-dependent diabetes. DIABECELL® comprises
encapsulated porcine insulin-producing cells (islets) that are
implanted into the abdomen of patients using a simple laparoscopic
procedure, and work by self-regulating and efficiently secreting
insulin in the patient’s body. LCT's breakthrough proprietary
encapsulation technology means that patients receiving DIABECELL®
treatment do not require immunosuppressant drugs after
implantation.
Prof. Boris Draznin, Director of the Adult Diabetes Program at
University of Colorado Denver, School of Medicine, who has long
followed islet transplantation, said, “This is the first time that
anyone with long term insulin-dependent diabetes has come off
insulin injections following islet cell implants without using
immunosuppressant drugs.”
The trial, which commenced in June 2007, is reported for the
eight patients. The patients, between 21 and 68 years of age with
insulin-dependent diabetes have received between one and three
implants of DIABECELL® with only minor adverse events. Blood
samples taken from patients over the past 34 months have tested
negative for any pig-to-human transmission of diseases. Six of the
eight patients have shown improvements in blood glucose control as
reflected by reduction in glycated haemoglobin (HbA1c %) levels and
reduction of the required daily dose of insulin injections. Two
patients discontinued insulin injections entirely; the longest
period was for a span of 14 weeks. The trial was conducted in the
Sklifosovsky Institute Moscow.
All trial patients will continue to be monitored to establish
the duration of clinical benefit and safety. LCT is investigating
the possibilities of conducting additional trials in other
jurisdictions. LCT also recently reported that DIABECELL® has also
progressed to the next stage if its Phase II studies in New Zealand
having received approval from the New Zealand Data Safety and
Monitoring Board in late March to advance to implants at higher
doses.
Dr Paul Tan, Chief Executive Officer for LCT, said, “We are
pleased with the progress we are making with DIABECELL® in our
trials in Russia and New Zealand. Our Phase II trial in New Zealand
will help us to determine the optimum dosing regimen. We are thus
pleased to be making positive progress towards
commercialisation.”
See Appendix for further details
For further information: www.lctglobal.com
APPENDIX
MARCH 2010 SUMMARY RUSSIAN CLINICAL TRIAL
LCT/DIA-07R STUDY DESIGN
Eight patients with Type 1 Diabetes Mellitus between the ages of
21 and 65 years inclusive, who were eligible for the study,
received the following doses of DIABECELL® via laparoscopic implant
into the peritoneal cavity.
Table 1: Dose of implants
Patient ID 1st Implant (IEQ/kg) 2nd Implant (IEQ/kg)
3rd Implant (IEQ/kg) 001 5,000 5,000 10,000 002 5,000 5,000
10,000 003 5,000 10,000 10,000 004 5,000 10,000 10,000 005 5,000
10,000 N/A 006 10,000 N/A N/A 007 10,000 10,000 N/A 008 10,000 N/A
N/A
Patients received 5,000 or 10,000 IEQ per kg body weight. Repeat
implants were administered as shown in the preceding Table and
scheduled at least 6 months apart.
RESULTS
8 patients have been followed up for safety evaluation for a
period of up to 18 months post receipt of their first implant of
DIABECELL®.
Patients have been followed up for efficacy evaluation for
varying periods up to 24 months post receipt of their first implant
of DIABECELL®.
Parameters used to evaluate efficacy of DIABECELL® implants
include daily insulin dose requirements and blood HbA1c (%)
levels.
With regard to safety:
- There were no significant
adverse events reported following either single implants or repeat
implants of DIABECELL®
- 2 patients reported adverse
events of abdominal discomfort occurring up to 5 days post implant,
although both of these patients fully recovered without
experiencing any residual effects
- To date all results from the
analyses of patient samples for PERV RNA and PERV DNA have been
negative
With regard to efficacy as demonstrated by reduction of HbA1c
(%) levels and daily insulin dose requirements when compared to
those requirements prior to the patient receiving their first
implant of DIABECELL®:
- At 6-months follow-up post first
implant, 6 of the eight 8 patients demonstrated HbA1c (%) levels
which were reduced by a range between 0.2 and 2.8 % units. The 6
patients demonstrated a reduced requirement for daily insulin dose
of between 13% and 100%, the insulin requirement for one of these
patients was reduced by 100% at 3-months post first implant and by
32% at 6-months post first implant.
- At 12-months follow-up post
first implant (6-months follow-up post second implant) all 5
patients demonstrated HbA1c (%) levels which were reduced by a
range between 0.5 and 2.1 % units. All 5 patients demonstrated a
reduced requirement for daily insulin dose which ranged between 10%
and 25%
- At 15-months follow-up post
first implant (3-months follow-up post third implant) all 4
patients demonstrated HbA1c (%) levels which were reduced by a
range between 0.2 and 1.7 % units. All 4 patients demonstrated a
reduced requirement for daily insulin dose which ranged between 10%
and 100%
- At 18-months follow-up post
first implant (6-months follow-up post third implant) 2 of the 3
patients demonstrated HbA1c (%) levels which were reduced by a
range between 0.9 and 1.3 % units respectively. All 3 patients
demonstrated a reduced requirement for daily insulin dose which
ranged between 10% and 100%
- At 24-months follow-up post
first implant (12-months follow-up post third implant), one patient
has reached this stage of follow-up and demonstrated a reduced
requirement for daily insulin dose of 82%
- In total, 2 of the 8 patients
implanted became insulin independent for 4 weeks and 32 weeks
respectively
- At the time of repeat implants,
intact capsules were retrieved and shown to contain viable islets.
Porcine insulin was also detected in the patient’s blood following
challenge with a Sustacal meal.
About Living Cell Technologies - www.lctglobal.com
Living Cell Technologies (LCT) is developing cell-based products
to treat life threatening human diseases. The Company owns a
bio-certified pig herd that it uses as a source of cells for
treating diabetes and neurological disorders. For patients with
Type 1 diabetes, the Company transplants microencapsulated islet
cells so that near-normal blood glucose levels may be achieved
without the need for administration of insulin or at significantly
reduced levels. The Company entered clinical trials for its
diabetes product in 2007. For the treatment of Parkinson’s disease
and other neurological disorders, the company transplants
microencapsulated choroid plexus cells that deliver beneficial
proteins and neurotrophic factors to the brain. LCT’s technology
enables healthy living cells to be injected into patients to
replace or repair damaged tissue without requiring the use of
immunosuppressant drugs to prevent rejection. LCT also offers
medical-grade porcine-derived products for the repair and
replacement of damaged tissues, as well as for research and other
purposes.
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forward-looking terminology such as “promising,” “plans,”
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“potential,” “seeking to,” “goal,” “could provide,” “intends,” “is
being developed,” “could be,” “on track,” or similar expressions,
or by express or implied discussions regarding potential filings or
marketing approvals, or potential future sales of product
candidates. Such forward-looking statements involve known and
unknown risks, uncertainties and other factors that may cause
actual results to be materially different from any future results,
performance or achievements expressed or implied by such
statements. There can be no assurance that any existing or future
regulatory filings will satisfy the FDA’s and other health
authorities’ requirements regarding any one or more product
candidates nor can there be any assurance that such product
candidates will be approved by any health authorities for sale in
any market or that they will reach any particular level of sales.
In particular, management’s expectations regarding the approval and
commercialization of the product candidates could be affected by,
among other things, unexpected clinical trial results, including
additional analysis of existing clinical data, and new clinical
data; unexpected regulatory actions or delays, or government
regulation generally; our ability to obtain or maintain patent or
other proprietary intellectual property protection; competition in
general; government, industry, and general public pricing
pressures; and additional factors that involve significant risks
and uncertainties about our products, product candidates, financial
results and business prospects. Should one or more of these risks
or uncertainties materialize, or should underlying assumptions
prove incorrect, actual results may vary materially from those
described herein as anticipated, believed, estimated or expected.
LCT is providing this information and does not assume any
obligation to update any forward-looking statements contained in
this document as a result of new information, future events or
developments or otherwise.
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