Myogen Initiates Phase 3 Clinical Trial of Darusentan in Patients with Resistant Hypertension
05 June 2006 - 10:01PM
Business Wire
Myogen, Inc. (Nasdaq: MYOG), a biopharmaceutical company focused on
the discovery, development and commercialization of small molecule
therapeutics for the treatment of cardiovascular disorders, today
announced the initiation of DORADO (DAR-311), an international
Phase 3 clinical trial to evaluate darusentan in patients with
resistant hypertension (RHTN). Myogen currently plans to initiate a
second international Phase 3 clinical trial, DAR-312, for the same
indication in the fourth quarter of this year. Contemporary
clinical guidelines define RHTN as "the failure to achieve goal
blood pressure in patients who are adhering to full doses of an
appropriate three-drug regimen that includes a diuretic." The
primary objective of DORADO, a Phase 3 randomized, double-blind,
placebo-controlled parallel group trial, is to determine if
darusentan is effective in reducing systolic blood pressure in
resistant hypertension patients currently treated with full doses
of four or more antihypertensive medications, one of which is a
diuretic. Patients are eligible for enrollment in this trial if
they have a systolic blood pressure greater than or equal to 140
mmHg and no other compelling conditions. For patients with diabetes
and/or chronic kidney disease, the blood pressure inclusion
criterion is a systolic blood pressure greater than 130 mmHg.
Approximately 352 patients will be randomized to one of three doses
of darusentan (50, 100, or 300 mg qd) versus placebo in a ratio of
7:7:7:11. The treatment period for the trial is 14 weeks. The
primary endpoint of the trial is change from baseline to week 14 in
trough sitting systolic blood pressure as compared to placebo. Upon
completion of the 14-week assessment period, patients will be
eligible to enroll in a long-term safety study. Patients will be
treated and followed for safety for at least six months with a mean
exposure expected to be in excess of one year. About Darusentan
Darusentan is a non-sulfonamide, propanoic-acid class, type-A
selective endothelin receptor antagonist (ERA) being investigated
in clinical trials as an add-on oral therapy for patients with
resistant hypertension. Contemporary clinical guidelines define
RHTN as "the failure to achieve goal blood pressure in patients who
are adhering to full doses of an appropriate three-drug regimen
that includes a diuretic." In August 2005, Myogen announced top
line results of DAR-201, a Phase 2b randomized, double-blind,
placebo-controlled clinical trial. The trial evaluated the effect
of darusentan on systolic blood pressure in 115 patients with RHTN.
Results of the trial demonstrated that 150 mg (at week 8) and 300
mg (at week 10) of darusentan dosed once daily provided
statistically significant placebo-corrected reductions in systolic
blood pressure measured by standard sphygmomanometry, as well as
24-hour ambulatory blood pressure monitoring (ABPM). Clinically
meaningful reductions in systolic and diastolic blood pressure were
also observed at earlier time points at lower doses. Trial results
also demonstrated darusentan was generally well tolerated.
Additional results from the Phase 2b study were presented at
ACC.06, the 55th Annual Scientific Session of the American College
of Cardiology held in March 2006, and at the American Society of
Hypertension Annual Meeting held in May 2006. About Myogen Myogen
has two product candidates in late-stage clinical development:
ambrisentan for the treatment of patients with pulmonary arterial
hypertension (PAH) and darusentan for the treatment of patients
with resistant hypertension. Myogen and GlaxoSmithKline have
entered into a global PAH collaboration in which Myogen has
marketing and distribution rights to GlaxoSmithKline's Flolan(R)
(epoprostenol sodium) for Injection in the United States and
GlaxoSmithKline has licensed ambrisentan from Myogen for all
territories outside of the United States, where Myogen retains
exclusive rights. Myogen also conducts a target and drug discovery
research program focused on the development of disease-modifying
drugs for the treatment of chronic heart failure and related
cardiovascular disorders. Please visit Myogen's website at
www.myogen.com. Safe Harbor Statement This press release contains
forward-looking statements that involve significant risks and
uncertainties, including the statements relating to the potential
of darusentan as a treatment for resistant hypertension. Actual
results could differ materially from those projected and Myogen
cautions investors not to place undue reliance on the
forward-looking statements contained in this release. The results
of Myogen's prior clinical trials of its product candidates,
including darusentan, do not necessarily predict the results of
future clinical trials. Preliminary results may not be confirmed
upon full analysis of the detailed results of a trial. There can be
no assurance that Myogen's product candidates, including
darusentan, have better safety profiles than competing products.
Among other things, Myogen's results may be affected by competition
from other pharmaceutical and biotechnology companies, Myogen's
ability to successfully develop and market its current products,
difficulties or delays in its clinical trials, regulatory
developments involving current and future products and its
effectiveness at managing its financial resources. If the Company's
product candidates, including darusentan, do not meet the safety or
efficacy endpoints in clinical evaluations, they will not receive
regulatory approval and the Company will not be able to market
them. Even if Myogen's product candidates meet safety and efficacy
endpoints, regulatory authorities may not approve them, or the
Company may face post-approval problems that require the withdrawal
of its products from the market. If the Company is unable to raise
additional capital when required or on acceptable terms, it may
have to significantly delay, scale back or discontinue one or more
of its drug development or discovery research programs. Myogen may
not ever have any products that generate significant revenue.
Additional risks and uncertainties relating to the company and its
business can be found in the "Risk Factors" section of Myogen's
Form 10-K for the year ended December 31, 2005 and Myogen's
periodic reports on Form 10-Q and Form 8-K. Myogen is providing the
information contained in this release as of the date of the release
and does not undertake any obligation to update any forward-looking
statements as a result of new information, future events or
otherwise.
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