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2006/OB/22
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OXFORD BIOMEDICA COMMENCES PHASE III TRIAL OF TROVAX IN RENAL CANCER
Oxford, UK – 7 November 2006: Oxford BioMedica (LSE: OXB), a leading gene therapy company, announced today that the first patient has been treated in TRIST, a pivotal multi-centre Phase III trial of TroVax®, the Company’s novel cancer immunotherapy, in patients with advanced or metastatic renal cell carcinoma (RCC).
Dr Mike McDonald, Oxford BioMedica’s Chief Medical Officer, commented on the start of the study: “The Phase III TRIST study is designed to demonstrate definitively that TroVax is effective as a treatment for this aggressive form of kidney cancer. The clinical experience with TroVax in over 150 patients has shown indications of its therapeutic potential as well as its excellent safety profile.”
TRIST (TroVax Renal Immunotherapy Survival Trial) is a Phase III trial that is designed to evaluate whether TroVax immunotherapy, added to first-line standard of care therapy, prolongs the survival of patients with locally advanced or metastatic clear cell renal carcinoma. The trial is a randomised, placebo-controlled, two-arm study that will compare TroVax in combination with standard of care to placebo with standard of care. The standard of care therapies will be interleukin-2, interferon-alpha or Sutent® (sunitinib). The protocol stratifies treatment between the standard of care options to ensure that the allocation of TroVax and placebo is rigorously balanced.
Approximately 700 patients will be recruited from about 120 centres in the USA, European Union and Eastern Europe. The primary endpoint for the trial is survival improvement and secondary endpoints include progression-free survival, tumour response rates and quality of life scores. The protocol includes the appointment of a Safety and Efficacy Monitoring Board (SEMB) to assess the safety and potential efficacy of the drug combinations at various time points during the trial.
In May 2006, Oxford BioMedica received a Special Protocol Assessment (SPA) agreement for the TRIST study from the US Food and Drug Administration (FDA). The SPA process enables FDA evaluation of a trial protocol that is intended to form the primary basis of an efficacy claim for product registration. The SPA agreement ensures that the design, conduct, analysis and endpoints of the trial are all acceptable to the FDA.
Oxford BioMedica anticipates rapid patient recruitment. Median survival for patients with advanced or metastatic renal cell carcinoma is approximately 11 months. The duration of the trial will be determined by the number of survival events (deaths) in the study group. The trial is expected to reach a conclusion in 2008-09, which would support the Company’s objective of reaching product registration in 2009.
Commenting on the news, Oxford BioMedica’s Chief Executive, Professor Alan Kingsman said: "The start of our first Phase III trial is an important milestone for Oxford BioMedica and ensures that the TroVax programme is on track for potential product registration in 2009. In addition, starting the Phase III trial further emphasises the value of the product to potential partners.”
The Company remains committed to securing a major corporate partner for the ongoing development and commercialisation of TroVax. As reported in September, discussions with lead prospective partners have progressed to development strategies and deal terms. The most advanced prospect is a major pharmaceutical company with a leading oncology franchise that completed its due diligence on the TroVax programme recently. Oxford BioMedica is working expeditiously with three other global pharmaceutical companies to bring all four companies to the same stage of discussions.
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| Notes
| 1. |
Oxford
BioMedica plc |
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Oxford
BioMedica (LSE: OXB) is a biopharmaceutical
company specialising in the development
of novel gene-based therapeutics with a
focus on oncology and neurotherapy. The
Company was established in 1995 as a spin
out from Oxford University, and is listed
on the London Stock Exchange.
Oxford
BioMedica has core expertise in gene delivery,
as well as in-house clinical, regulatory
and manufacturing know-how. In oncology,
the pipeline includes two candidates in
multiple Phase II trials, and a preclinical
targeted antibody therapy in collaboration
with Wyeth. A Phase III trial in renal cancer
with TroVax, the lead cancer immunotherapy
candidate, is expected to start in the second
half of 2006. In neurotherapy, the Company's
lead product is a gene therapy for Parkinson's
disease, which is expected to enter clinical
development in 2006, and four further preclinical
candidates. The Company is underpinned by
over 80 patent families, which represent
one of the broadest patent estates in the
field.
The
Company has a staff of approximately 70
split between its main facilities in Oxford
and its wholly owned subsidiary, BioMedica
Inc, in San Diego, California. Oxford BioMedica
has corporate collaborations with Wyeth,
Intervet, Sigma-Aldrich, Viragen, MolMed,
Virxsys and Kiadis; and has licensed technology
to a number of companies including Merck
& Co, Biogen Idec and Pfizer. |
| 2. |
TroVax® |
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TroVax
is Oxford BioMedica’s leading cancer
immunotherapy product. It is designed specifically
to stimulate an anti-cancer immune response
and has potential application in most solid
tumour types. TroVax targets the tumour
antigen 5T4, which is broadly distributed
throughout a wide range of solid tumours.
The presence of 5T4 is correlated with poor
prognosis. The product consists of a poxvirus
(MVA) gene transfer system, which delivers
the gene for 5T4 and stimulates a patient’s
body to produce an anti-5T4 immune response.
This immune response destroys tumour cells
carrying the 5T4. TroVax has attracted external
support from Cancer Research UK, the US
National Cancer Institute and the UK clinical
trials network, QUASAR. Over 150 patients
have now been treated with TroVax in ten
clinical trials (collectively over 500 doses).
The Company is targeting colorectal cancer
and renal cell carcinoma as lead indications
for the development of TroVax. Renal cell
carcinoma is an indication where TroVax
might achieve a rapid route to product registration.
Oxford BioMedica is starting a Phase III
trial (TRIST – TroVax Renal Immunotherapy
Survival Trial) in 700 patients with advanced
renal cell carcinoma in the second half
of 2006. The TRIST study received a Special
Protocol Assessment from the US Food and
Drug Administration in May 2006. A Phase
II trial in prostate cancer is ongoing and
a trial in breast cancer is due to start
under the auspices of the US Southwest Oncology
Group. |
| 3. |
Renal Cell Carcinoma |
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Renal cell carcinoma (RCC) is the most common form of kidney cancer in the USA. More than 150,000 people are newly diagnosed with RCC worldwide each year. Prognosis is very poor. If RCC has metastasised to other organs at the time of first diagnosis, the five-year survival rate is less than 5%. In the USA and Europe, RCC accounts for more than 33,000 deaths each year. Data from IMS suggest that over 5,000 patients in the UK received treatment for metastatic RCC in 2005.
The most common form of RCC is known as clear cell, which is evident in approximately 80% of cases. The other main category is papillary, which is found in 15-20% of cases. Commonly used treatments for patients with metastatic RCC include cytokines such as interferon-alpha, which has limited efficacy, and interleukin-2, which is associated with severe side effects at high dose levels. In the last 12 months, two novel kinase inhibitor drugs have been approved for the treatment of metastatic RCC, Nexavar® and Sutent®, based on progression free survival and overall response rate data, respectively, rather than improvement in survival.
There are several reasons why a cancer vaccine such as TroVax might have therapeutic potential as a novel treatment for RCC. There is circumstantial evidence that immune responses may be important in dictating the outcome for RCC patients and a vaccine could potentiate this immune response. TroVax, in particular, may be the vaccine of choice since the expression of 5T4, the antigenic component of TroVax, is more prevalent in RCC than any other solid cancer analysed by Oxford BioMedica: the antigen is present at high levels on a high proportion of cells in approximately 90% of RCC tumours.
Treatments for RCC generated annual sales of approximately US$600 million according to Datamonitor.
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