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	<title>Symptom Advice .com &#187; phase iii</title>
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		<title>Incyte Reports Additional Analyses of Symptomatic Improvement and Quality of Life with Ruxolitinib (INC424) in Patients with Myelofibrosis from the COMFORT-I Study</title>
		<link>http://symptomadvice.com/incyte-reports-additional-analyses-of-symptomatic-improvement-and-quality-of-life-with-ruxolitinib-inc424-in-patients-with-myelofibrosis-from-the-comfort-i-study/</link>
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		<pubDate>Tue, 14 Jun 2011 08:51:12 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[cancer symptoms]]></category>
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		<category><![CDATA[enlarged spleen]]></category>
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		<description><![CDATA[June 11, 2011 12:30 PM&#160;Eastern Daylight Time&#160; Results Presented at 16th Congress of &#116;&#104;&#101; European Hematology Association LONDON&#8211;(BUSINESS WIRE)&#8211;Incyte Corporation (Nasdaq:INCY) announced today additional symptom improvement and quality of life (QoL) results from COMFORT-I (COntrolled MyeloFibrosis Study &#119;&#105;&#116;&#104; ORal JAK inhibitor Treatment), a randomized, double-blinded, placebo-controlled Phase III trial of Incyte’s JAK1 and JAK2 inhibitor, [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/06/1308041472-43.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />June 11, 2011 12:30 PM&nbsp;Eastern Daylight Time&nbsp;
<p> <i>Results Presented at 16th Congress of &#116;&#104;&#101; European Hematology Association</i> </p>
<p>LONDON&#8211;(BUSINESS WIRE)&#8211;Incyte Corporation (Nasdaq:INCY) announced today additional symptom improvement and quality of life (QoL) results from COMFORT-I (<b>CO</b>ntrolled <b>M</b>yelo<b>F</b>ibrosis Study &#119;&#105;&#116;&#104; <b>OR</b>al JAK inhibitor <b>T</b>reatment), a randomized, double-blinded, placebo-controlled Phase III trial of Incyte’s JAK1 and JAK2 inhibitor, ruxolitinib, &#105;&#110; patients &#119;&#105;&#116;&#104; myelofibrosis (MF). &#116;&#104;&#101; data, &#098;&#101;&#105;&#110;&#103; reported at &#116;&#104;&#101; 16th EHA Congress today, demonstrated &#116;&#104;&#097;&#116; treatment &#119;&#105;&#116;&#104; ruxolitinib resulted &#105;&#110; significant reductions &#105;&#110; spleen volume and improvements &#105;&#110; Total Symptom Score (TSS) &#119;&#104;&#105;&#108;&#101; placebo-treated patients experienced progressive splenomegaly (enlarged spleen) and worsening of symptoms, complementing clinical results presented &#114;&#101;&#099;&#101;&#110;&#116;&#108;&#121; at &#116;&#104;&#101; 2011 ASCO Annual Meeting. </p>
<p>&#8220;Quality of life &#105;&#110; patients &#119;&#105;&#116;&#104; myelofibrosis &#099;&#097;&#110; &#098;&#101; severely compromised &#098;&#121; massive splenomegaly and debilitating symptoms, and &#105;&#116; is highly gratifying &#116;&#111; see profound symptomatic improvement resulting &#105;&#110; improved quality of life &#105;&#110; MF patients.&#8221;</p>
<p> &#116;&#104;&#101; findings &#097;&#114;&#101; &#098;&#101;&#105;&#110;&#103; reported at &#116;&#104;&#101; EHA Congress &#105;&#110; Poster #0912: <i>Results Using &#116;&#104;&#101; Modified Myelofibrosis Symptom Assessment Form (MFSAF v2.0) &#105;&#110; COMFORT-I: a Randomized, Double-Blind, Phase III Trial of JAK1/2 Inhibitor Ruxolitinib &#118;&#115;. Placebo &#105;&#110; Myelofibrosis</i>.1 &#116;&#104;&#101; presenting author is Ruben A. Mesa, M.D., Professor of Medicine, Chair, Division of Hematology &amp; Medical Oncology, Mayo Clinic, Arizona. Dr. Mesa is a leading expert &#111;&#110; &#116;&#104;&#101; symptomatic burden of myelofibrosis and has &#098;&#101;&#101;&#110; instrumental &#105;&#110; developing tools, &#115;&#117;&#099;&#104; &#097;&#115; &#116;&#104;&#101; modified MFSAF, for measuring &#116;&#104;&#101;&#115;&#101; symptoms. </p>
<p> &#116;&#104;&#101;&#115;&#101; data demonstrated &#116;&#104;&#097;&#116; &#116;&#104;&#101; primary endpoint of a 35% reduction &#105;&#110; spleen volume &#119;&#097;&#115; &#099;&#108;&#101;&#097;&#114;&#108;&#121; &#097;&#115;&#115;&#111;&#099;&#105;&#097;&#116;&#101;&#100; &#119;&#105;&#116;&#104; reduction of abdominal symptoms (abdominal discomfort, pain under &#116;&#104;&#101; ribs and feeling of fullness (early satiety)) &#097;&#115;&#115;&#111;&#099;&#105;&#097;&#116;&#101;&#100; &#119;&#105;&#116;&#104; an enlarged spleen. Importantly, &#109;&#097;&#110;&#121; patients &#119;&#105;&#116;&#104; less &#116;&#104;&#097;&#110; 35% reduction &#105;&#110; spleen volume also had meaningful improvement &#105;&#110; abdominal symptoms. Patient benefit also &#119;&#097;&#115; assessed using &#116;&#104;&#101; Patient Global Impression of Change (PGIC), &#119;&#104;&#105;&#099;&#104; measures patients’ global assessment of change &#105;&#110; &#116;&#104;&#101;&#105;&#114; condition &#111;&#110; a 7-point scale ranging from “very &#109;&#117;&#099;&#104; worse” &#116;&#111; “very &#109;&#117;&#099;&#104; improved.” &#119;&#104;&#105;&#108;&#101; more &#116;&#104;&#097;&#110; two-thirds of ruxolitinib-treated patients graded &#116;&#104;&#101;&#105;&#114; disease &#097;&#115; “much &#111;&#114; very &#109;&#117;&#099;&#104; improved” based &#111;&#110; &#116;&#104;&#101; PGIC, &#110;&#101;&#097;&#114;&#108;&#121; three-quarters of placebo-treated patients reported “no change” &#111;&#114; “worsening” &#111;&#110; &#116;&#104;&#097;&#116; scale. </p>
<p> &#105;&#110; addition, of patients &#119;&#104;&#111; had a 50% &#111;&#114; greater reduction &#105;&#110; TSS (a key secondary endpoint), &#110;&#101;&#097;&#114;&#108;&#121; 90% rated &#116;&#104;&#101;&#105;&#114; disease &#097;&#115; “much &#111;&#114; very &#109;&#117;&#099;&#104; improved” based &#111;&#110; &#116;&#104;&#101; PGIC scale. Also, over 50% of patients &#119;&#105;&#116;&#104; a 25% &#116;&#111; 50% TSS improvement rated &#116;&#104;&#101;&#105;&#114; disease &#097;&#115; “much &#111;&#114; very &#109;&#117;&#099;&#104; improved,” indicating &#116;&#104;&#097;&#116; a significant proportion of &#116;&#104;&#101;&#115;&#101; ruxolitinib-treated patients also had meaningful improvement &#105;&#110; &#116;&#104;&#101;&#105;&#114; disease. &#097;&#115;&#115;&#111;&#099;&#105;&#097;&#116;&#101;&#100; &#119;&#105;&#116;&#104; &#116;&#104;&#101;&#115;&#101; improvements were improvements &#105;&#110; almost &#097;&#108;&#108; sub-scales of &#116;&#104;&#101; European Organization for Research and Treatment of Cancer Quality-of-Life 30 Questionnaire (EORTC QLQ-C30), a standard and well-validated measure of quality of life &#105;&#110; cancer patients. A copy of &#116;&#104;&#101; poster presentation &#099;&#097;&#110; &#098;&#101; viewed &#098;&#121; clicking &#111;&#110; &#116;&#104;&#101; &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; link: EHA 2011 Ruben Mesa Poster. </p>
<p> Richard Levy, M.D., Incyte’s Executive Vice President and Chief Drug Development and Medical Officer, stated, “Quality of life &#105;&#110; patients &#119;&#105;&#116;&#104; myelofibrosis &#099;&#097;&#110; &#098;&#101; severely compromised &#098;&#121; massive splenomegaly and debilitating symptoms, and &#105;&#116; is highly gratifying &#116;&#111; see profound symptomatic improvement resulting &#105;&#110; improved quality of life &#105;&#110; MF patients.” </p>
<p> &#097;&#115; expected based &#111;&#110; &#116;&#104;&#101; mechanism of action of ruxolitinib, &#116;&#104;&#101; &#109;&#111;&#115;&#116; common adverse events occurring more frequently &#111;&#110; ruxolitinib treatment &#116;&#104;&#097;&#110; &#111;&#110; placebo were anemia and thrombocytopenia. Both were manageable &#097;&#115; evidenced &#098;&#121; &#116;&#104;&#101; &#108;&#111;&#119; discontinuation rate &#097;&#115; a result of &#116;&#104;&#101;&#115;&#101; events (1 patient for &#101;&#097;&#099;&#104; event &#105;&#110; &#101;&#097;&#099;&#104; arm of &#116;&#104;&#101; study). Thrombocytopenia &#119;&#097;&#115; managed &#119;&#105;&#116;&#104; dose modifications and anemia &#119;&#097;&#115; generally managed &#119;&#105;&#116;&#104; transfusion. &#116;&#104;&#101; prevalence of grade 3 and 4 anemia &#105;&#110; ruxolitinib patients diminished over time &#097;&#115; did &#116;&#104;&#101; need for transfusion. &#097;&#109;&#111;&#110;&#103; &#116;&#104;&#101; &#109;&#111;&#115;&#116; frequently reported non-hematologic adverse events &#105;&#110; ruxolitinib treated patients were dizziness, headache and bruising and were generally of &#108;&#111;&#119; grade, and self limited &#119;&#105;&#116;&#104; continued therapy. </p>
<p> <b>About COMFORT-I</b> </p>
<p> COMFORT-I is a randomized (1:1), double-blind, placebo-controlled Phase III study comparing &#116;&#104;&#101; efficacy and safety of ruxolitinib &#116;&#111; placebo &#105;&#110; 309 patients &#119;&#105;&#116;&#104; primary myelofibrosis (PMF), post-polycythemia vera myelofibrosis (PPV-MF) &#111;&#114; post-essential thrombocythemia myelofibrosis (PET-MF) and involved over 80 clinical sites &#105;&#110; &#116;&#104;&#101; US, Canada and Australia. </p>
<p> &#116;&#104;&#101; primary endpoint &#119;&#097;&#115; &#116;&#104;&#101; proportion of patients achieving a reduction &#105;&#110; spleen volume of 35% &#111;&#114; more from baseline &#116;&#111; week 24 &#097;&#115; measured &#098;&#121; MRI (or CT scan &#105;&#110; applicable patients). Key secondary endpoints included duration of maintenance of a 35% &#111;&#114; greater reduction &#105;&#110; spleen volume from baseline and &#116;&#104;&#101; proportion of patients &#119;&#105;&#116;&#104; 50% &#111;&#114; more reduction &#105;&#110; symptom improvement &#097;&#115; measured &#098;&#121; &#116;&#104;&#101; MFSAF v2.0 electronic diary. </p>
<p> &#116;&#104;&#101; study met &#105;&#116;&#115; primary end-point and &#119;&#105;&#108;&#108; &#098;&#101; presented &#098;&#121; Srdan Verstovsek, M.D., Ph.D., Associate Professor, Department of Leukemia, Division of Cancer Medicine, University of Texas – MD Anderson Cancer Center and Principal Investigator for COMFORT-I &#105;&#110; &#116;&#104;&#101; Presidential Symposium, &#111;&#110;&#101; of &#116;&#104;&#101; two plenary sessions at EHA, &#111;&#110; June 11. </p>
<p> COMFORT-II, &#119;&#104;&#105;&#099;&#104; &#119;&#097;&#115; conducted &#098;&#121; Novartis &#105;&#110; &#116;&#104;&#101; EU &#097;&#115; &#112;&#097;&#114;&#116; of &#116;&#104;&#101; Incyte-Novartis worldwide collaboration and license agreement, is a randomized (2:1), open-label Phase III study of ruxolitinib &#118;&#101;&#114;&#115;&#117;&#115; best &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101; therapy. COMFORT-II enrolled 219 patients &#119;&#105;&#116;&#104; primary MF, PPV-MF &#111;&#114; PET-MF &#105;&#110; 56 study locations &#105;&#110; Europe. </p>
<p> <b>About Myelofibrosis (MF)</b> </p>
<p> Myelofibrosis is a potentially life-threatening blood cancer characterized &#098;&#121; bone marrow failure, enlarged spleen (splenomegaly) and debilitating symptoms, &#115;&#117;&#099;&#104; &#097;&#115; fatigue, pruritus (severe itching), night sweats, bone pain and early satiety. MF is &#111;&#110;&#101; of &#116;&#104;&#101; Philadelphia chromosome-negative myeloproliferative neoplasms (MPNs), &#119;&#104;&#105;&#099;&#104; also include polycythemia vera and essential thrombocythemia.2 Aberrant activation of &#116;&#104;&#101; Janus kinase (JAK) pathway, &#119;&#104;&#105;&#099;&#104; regulates blood cell production, has &#098;&#101;&#101;&#110; &#097;&#115;&#115;&#111;&#099;&#105;&#097;&#116;&#101;&#100; &#119;&#105;&#116;&#104; &#116;&#104;&#101; development of &#116;&#104;&#101; MPNs, including MF.3 </p>
<p> Myelofibrosis is &#097;&#115;&#115;&#111;&#099;&#105;&#097;&#116;&#101;&#100; &#119;&#105;&#116;&#104; poor prognosis and often results &#105;&#110; a shortened survival. Up &#116;&#111; 20% of patients &#099;&#097;&#110; experience transformation &#116;&#111; fatal secondary acute myelogenous leukemia &#119;&#105;&#116;&#104;&#105;&#110; 10 years of diagnosis. &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121;, &#116;&#104;&#101;&#114;&#101; &#097;&#114;&#101; limited treatment options and no FDA-approved medicines for MF; &#116;&#104;&#101; only potential cure is allogeneic stem cell transplant, for &#119;&#104;&#105;&#099;&#104; a very small proportion of patients qualify.2 </p>
<p> <b>About Ruxolitinib</b> </p>
<p> Ruxolitinib is Incyte&#8217;s lead internally developed JAK1 and JAK2 inhibitor &#116;&#104;&#097;&#116; entered clinical trials &#105;&#110; &#109;&#097;&#121; 2007 and &#115;&#104;&#111;&#119;&#101;&#100; clinical activity &#105;&#110; a number of hematologic disorders. This agent &#114;&#101;&#099;&#101;&#110;&#116;&#108;&#121; completed a global Phase III program (<i>COMFORT</i>) &#105;&#110; myelofibrosis, and &#116;&#104;&#101; &#110;&#101;&#119; Drug Application is &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; under review &#098;&#121; &#116;&#104;&#101; US Food &amp; Drug Administration. Ruxolitinib also is &#105;&#110; a global Phase 3 registration study, RESPONSE,4 &#105;&#110; advanced polycythemia vera, a related hematologic neoplasm, &#097;&#115; &#119;&#101;&#108;&#108; &#097;&#115; Phase 2 studies &#105;&#110; patients &#119;&#105;&#116;&#104; other hematologic malignancies and solid tumors. Other clinical studies evaluating ruxolitinib &#105;&#110; patients &#119;&#105;&#116;&#104; lymphoma and pancreatic cancer &#097;&#114;&#101; planned. </p>
<p> <b>About Incyte</b> </p>
<p> Incyte Corporation is a Wilmington, Delaware-based drug discovery and development company focused &#111;&#110; developing proprietary small molecule drugs for oncology and inflammation. For additional information &#111;&#110; Incyte, visit &#116;&#104;&#101; Company&#8217;s web site at incyte.com. </p>
<p> <b>Forward-Looking Statements</b> </p>
<p> &#101;&#120;&#099;&#101;&#112;&#116; for &#116;&#104;&#101; historical information contained herein, &#116;&#104;&#101; matters set forth &#105;&#110; this press release, including statements &#114;&#101;&#103;&#097;&#114;&#100;&#105;&#110;&#103; &#116;&#104;&#101; presentation of &#116;&#104;&#101; COMFORT-I results at &#111;&#110;&#101; of &#116;&#104;&#101; two plenary sessions at EHA &#111;&#110; June 11 and other clinical studies evaluating ruxolitinib &#105;&#110; patients &#119;&#105;&#116;&#104; lymphoma and pancreatic cancer &#098;&#101;&#105;&#110;&#103; planned, &#097;&#114;&#101; &#097;&#108;&#108; forward-looking statements &#119;&#105;&#116;&#104;&#105;&#110; &#116;&#104;&#101; meaning of &#116;&#104;&#101; &#8220;safe harbor&#8221; provisions of &#116;&#104;&#101; Private Securities Litigation Reform Act of 1995. </p>
<p> &#116;&#104;&#101;&#115;&#101; forward-looking statements &#097;&#114;&#101; subject &#116;&#111; risks and uncertainties &#116;&#104;&#097;&#116; &#109;&#097;&#121; cause actual results &#116;&#111; differ materially, including &#116;&#104;&#101; high degree of risk and uncertainty &#097;&#115;&#115;&#111;&#099;&#105;&#097;&#116;&#101;&#100; &#119;&#105;&#116;&#104; drug development and clinical studies, unanticipated developments &#105;&#110; &#116;&#104;&#101; efficacy &#111;&#114; safety of ruxolitinib, &#116;&#104;&#101; possibility &#116;&#104;&#097;&#116; &#116;&#104;&#101; outcomes for &#101;&#097;&#099;&#104; of &#116;&#104;&#101; planned clinical studies for ruxolitinib &#109;&#097;&#121; not &#098;&#101; favorable, &#116;&#104;&#101; possibility &#116;&#104;&#097;&#116; regulatory authorities &#109;&#097;&#121; require additional clinical studies &#105;&#110; order &#116;&#111; support registration of ruxolitinib &#105;&#110; any &#112;&#097;&#114;&#116;&#105;&#099;&#117;&#108;&#097;&#114; indication, &#116;&#104;&#101; possibility &#116;&#104;&#097;&#116; &#116;&#104;&#101;&#114;&#101; &#109;&#097;&#121; &#098;&#101; other interpretations of &#116;&#104;&#101; data produced &#105;&#110; &#111;&#110;&#101; &#111;&#114; more of Incyte&#8217;s clinical studies, &#116;&#104;&#101; results of further research and development, and other risks detailed from time &#116;&#111; time &#105;&#110; Incyte&#8217;s filings &#119;&#105;&#116;&#104; &#116;&#104;&#101; Securities and Exchange Commission, including &#105;&#116;&#115; Quarterly Report &#111;&#110; Form 10-Q for &#116;&#104;&#101; quarter ended March 31, 2011. Incyte disclaims any intent &#111;&#114; obligation &#116;&#111; update &#116;&#104;&#101;&#115;&#101; forward-looking statements. Links &#116;&#111; third-party websites &#111;&#114; pages &#097;&#114;&#101; &#112;&#114;&#111;&#118;&#105;&#100;&#101;&#100; for convenience only. &#101;&#097;&#099;&#104; website is subject &#116;&#111; &#105;&#116;&#115; &#111;&#119;&#110; terms of use, and &#119;&#101; encourage you &#116;&#111; consult &#116;&#104;&#101;&#115;&#101; policy statements. Incyte has no control over third party sites and &#100;&#111;&#101;&#115; not endorse &#111;&#114; recommend &#116;&#104;&#101;&#115;&#101; sites, and expressly disclaims any responsibility for &#116;&#104;&#101; accuracy of content &#111;&#114; opinions set forth &#105;&#110; any third-party website &#111;&#114; &#121;&#111;&#117;&#114; use of &#116;&#104;&#097;&#116; information. </p>
<p> <b>References</b> </p>
<p> 1. Mesa RA, Verstovsek S, &#101;&#116; al. Results Using &#116;&#104;&#101; Modified Myelofibrosis Symptom Assessment Form (MFSAF v2.0) &#105;&#110; COMFORT-I: a Randomized, Double-Blind, Phase III Trial of JAK1/2 Inhibitor Ruxolitinib &#118;&#115;. Placebo &#105;&#110; Myelofibrosis. Abstract #0912. 16th Congress of &#116;&#104;&#101; European Hematology Association. </p>
<p> 2. &#116;&#104;&#101; Leukemia &amp; Lymphoma Society. Idiopathic Myelofibrosis. 2007. &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101; at lls.org/content/nationalcontent/resourcecenter/freeeducationmaterials/mpd/pdf/idiopathicmyelofibrosis. Accessed &#109;&#097;&#121; 2011. </p>
<p> 3. Vannucchi AM, Guglielmelli P, Tefferi A. Advances &#105;&#110; understanding and management of myeloproliferative neoplasms. <i>CA Cancer J Clin</i>. 2009;59:171-191. </p>
<p> 4. National Institutes of Health. Study of Efficacy and Safety &#105;&#110; Polycythemia Vera Subjects &#119;&#104;&#111; &#097;&#114;&#101; Resistant &#116;&#111; &#111;&#114; Intolerant of Hydroxyurea: JAK Inhibitor INC424 (INCB018424) Tablets &#118;&#101;&#114;&#115;&#117;&#115; Best &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101; Care: &#116;&#104;&#101; RESPONSE Trial. &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101; at clinicaltrials.gov/ct2/results?term=%22The+RESPONSE+Trial%22. Accessed &#109;&#097;&#121; 2011. </p></p>
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		<title>The New England Journal of Medicine Publishes Pivotal Studies Showing Potential of New Investigational Treatment for Chronic Infection with Hepatitis C Virus Genotype 1</title>
		<link>http://symptomadvice.com/the-new-england-journal-of-medicine-publishes-pivotal-studies-showing-potential-of-new-investigational-treatment-for-chronic-infection-with-hepatitis-c-virus-genotype-1/</link>
		<comments>http://symptomadvice.com/the-new-england-journal-of-medicine-publishes-pivotal-studies-showing-potential-of-new-investigational-treatment-for-chronic-infection-with-hepatitis-c-virus-genotype-1/#comments</comments>
		<pubDate>Thu, 14 Apr 2011 22:00:10 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[fibrosis symptoms]]></category>
		<category><![CDATA[genotypes]]></category>
		<category><![CDATA[hepatitis]]></category>
		<category><![CDATA[new england journal]]></category>
		<category><![CDATA[phase iii]]></category>
		<category><![CDATA[treatment failure]]></category>

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		<description><![CDATA[Addition &#111;&#102; boceprevir significantly increased treatment success in more patients &#097;&#110;&#100; in &#097; significantly shorter time period compared to standard treatment MONTREAL, March 30 /CNW/ -Two Phase III studies (HCV RESPOND-2 &#097;&#110;&#100; HCV SPRINT-2) are published in &#116;&#104;&#101; March 31 edition &#111;&#102; &#116;&#104;&#101; New England Journal &#111;&#102; Medicine (NEJM) demonstrating &#116;&#104;&#097;&#116; addition &#111;&#102; &#116;&#104;&#101; investigational [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/04/1302818410-31.jpg" style="float:left;clear:both;margin:0 15px 15px 0" />
<p><i>Addition &#111;&#102; boceprevir significantly increased treatment success in more patients &#097;&#110;&#100; in &#097; significantly shorter time period compared to standard treatment</i></p>
<p>MONTREAL, March 30 /CNW/ -Two Phase III studies (HCV RESPOND-2 &#097;&#110;&#100; HCV SPRINT-2) are published in &#116;&#104;&#101; March 31 edition &#111;&#102; &#116;&#104;&#101; <i>New England Journal &#111;&#102; Medicine (NEJM)</i> demonstrating &#116;&#104;&#097;&#116; addition &#111;&#102; &#116;&#104;&#101; investigational oral medication boceprevir to standard treatment significantly improved sustained virologic response (SVR) &#8211; &#116;&#104;&#101; goal &#111;&#102; treatment &#8211; in &#097; significantly greater number &#111;&#102; adult patients who failed previous treatment (treatment-failure) &#097;&#110;&#100; in &#116;&#104;&#111;&#115;&#101; who &#119;&#101;&#114;&#101; &#110;&#101;&#119; to treatment (treatment-na&#239;ve) for chronic hepatitis C virus (HCV) genotype 1, compared to standard therapy alone. Also, both studies investigated &#097; &#110;&#101;&#119; treatment strategy resulting in many patients being &#097;&#098;&#108;&#101; to shorten &#116;&#104;&#101; duration &#111;&#102; therapy &#102;&#114;&#111;&#109; &#116;&#104;&#101; standard 48 weeks.1</p>
<p>&quot;&#116;&#104;&#101;&#115;&#101; results signal &#097; truly important change in &#116;&#104;&#101; treatment &#111;&#102; hepatitis C genotype 1 infection, &#111;&#110;&#101; &#111;&#102; &#116;&#104;&#101; most prevalent genotypes in Canada,&quot; &#115;&#097;&#105;&#100; Dr. Marc Bilodeau, &#097; Canadian investigator in &#116;&#104;&#101; SPRINT-2 study &#097;&#110;&#100; Associate Professor &#111;&#102; Medicine at Universit&#233; &#100;&#101; Montr&#233;al. &quot;&#116;&#104;&#101; addition &#111;&#102; boceprevir &#110;&#111;&#116; &#111;&#110;&#108;&#121; substantially increased &#116;&#104;&#101; success rates, &#098;&#117;&#116; also by &#117;&#115;&#105;&#110;&#103; response-guided therapy &#8211; which indicates &#104;&#111;&#119; individuals are responding to treatment &#8211; many patients taking &#116;&#104;&#101; drugs for &#116;&#104;&#101; first time saw &#116;&#104;&#101;&#105;&#114; treatment times &#099;&#117;&#116; almost in &#104;&#097;&#108;&#102;.&quot;</p>
<p>&quot;Being &#097;&#098;&#108;&#101; to shorten &#116;&#104;&#101; length &#111;&#102; treatment &#105;&#115; extremely important &#103;&#105;&#118;&#101;&#110; &#116;&#104;&#097;&#116; &#111;&#110;&#101; &#111;&#102; &#116;&#104;&#101; most challenging aspects &#111;&#102; treating HCV &#105;&#115; managing &#116;&#104;&#101; debilitating &#115;&#105;&#100;&#101; effects. &#098;&#101;&#099;&#097;&#117;&#115;&#101; &#116;&#104;&#101; &#115;&#105;&#100;&#101; effects are &#115;&#111; hard to &#116;&#097;&#107;&#101;, &#117;&#110;&#102;&#111;&#114;&#116;&#117;&#110;&#097;&#116;&#101;&#108;&#121; &#115;&#111;&#109;&#101; patients stop &#116;&#104;&#101;&#105;&#114; course &#111;&#102; therapy,&quot; &#115;&#097;&#105;&#100; Dr. &#109;&#097;&#114;&#107; Levstik, &#097;&#110; investigator in &#116;&#104;&#101; SPRINT-2 NEJM-published study &#097;&#110;&#100; Assistant Professor, Department &#111;&#102; Medicine, Division &#111;&#102; Gastroenterology, University &#111;&#102; Western Ontario.</p>
<p>Boceprevir, &#097;&#110; investigational agent &#110;&#111;&#116; &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; available in Canada, belongs to &#097; novel class &#111;&#102; direct-acting antiviral agents &#8211; called HCV protease inhibitors &#8211; &#116;&#104;&#097;&#116; reduce &#116;&#104;&#101; amount &#111;&#102; virus in &#116;&#104;&#101; blood through inhibition &#111;&#102; &#116;&#104;&#101; function &#111;&#102; &#097; viral protein called &#039;protease&#039; &#116;&#104;&#097;&#116; HCV &#110;&#101;&#101;&#100;&#115; to replicate.2</p>
<p>An estimated 250,000 individuals in Canada are infected &#119;&#105;&#116;&#104; HCV &#097;&#110;&#100; there are 3,200 to 5,000 newly infected individuals each year.3&#160; HCV &#100;&#097;&#109;&#097;&#103;&#101;&#115; &#116;&#104;&#101; liver &#097;&#110;&#100; may lead to &#115;&#101;&#114;&#105;&#111;&#117;&#115; complications, including death, when left untreated.4&#160; &#105;&#116; &#105;&#115; &#116;&#104;&#101; leading cause &#111;&#102; liver transplants in Canada.5</p>
<p>&quot;&#116;&#104;&#101; &#117;&#115;&#101; &#111;&#102; &#097; protease inhibitor to treat hepatitis C infection &#105;&#115; &#097;&#110; important advance in &#116;&#104;&#101; management &#111;&#102; &#116;&#104;&#101; disease,&quot; &#115;&#097;&#105;&#100; Dr. Alnoor Ramji, &#097;&#110; investigator in both &#116;&#104;&#101; SPRINT-2 &#097;&#110;&#100; &#116;&#104;&#101; RESPOND-2 published studies &#097;&#110;&#100; &#097; Clinical Assistant Professor at &#116;&#104;&#101; University &#111;&#102; British Columbia. &quot;&#097;&#115; &#097; Canadian investigator, I am encouraged &#116;&#104;&#097;&#116; &#116;&#104;&#101; studies&#160;&#104;&#097;&#118;&#101; &#098;&#101;&#101;&#110; published in this prestigious medical journal. &#105;&#116; reinforces &#116;&#104;&#101; importance &#111;&#102; &#111;&#117;&#114; results.&quot;</p>
<p><b>Treatments Improve, Stigma Persists</b></p>
<p>Karen Stacey lived &#119;&#105;&#116;&#104; &#116;&#104;&#101; virus for many years before experiencing any symptoms. &#104;&#101;&#114; diagnosis came slowly, &#097;&#110;&#100; &#111;&#110;&#108;&#121; &#097;&#102;&#116;&#101;&#114; many tests &#097;&#110;&#100; visits to multiple physicians.</p>
<p>&quot;I remember constantly feeling dizzy &#097;&#110;&#100; nauseous, &#097;&#110;&#100; &#104;&#097;&#118;&#105;&#110;&#103; &#097; hard time &#119;&#105;&#116;&#104; &#109;&#121; memory,&quot; &#115;&#097;&#105;&#100; Ms. Stacey. &quot;When I &#119;&#097;&#115; finally diagnosed &#119;&#105;&#116;&#104; hepatitis C, I had this sinking feeling &#116;&#104;&#097;&#116; people felt I deserved to get this disease. In &#116;&#104;&#101; minds &#111;&#102; many people, &#111;&#110;&#108;&#121; drug addicts or alcoholics get this virus.&quot;</p>
<p>Past or current drug &#117;&#115;&#101; accounts for more than 56 &#112;&#101;&#114; cent &#111;&#102; all hepatitis C infection in Canada.6 In addition, &#116;&#104;&#101; virus may &#098;&#101; contracted &#118;&#105;&#097; &#117;&#115;&#101; &#111;&#102; unscreened blood or blood products in medical procedures, body piercing, mother-child transmission &#097;&#110;&#100; accidental needle-sticking in medical settings. In Karen&#039;s case, &#115;&#104;&#101; contracted &#116;&#104;&#101; virus &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; &#097; blood transfusion, which &#115;&#104;&#101; required during &#097; failed pregnancy in &#116;&#104;&#101; 1970s.</p>
<p>&quot;To &#104;&#101;&#108;&#112; eliminate &#116;&#104;&#101; terrible stigma I suffered &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; &#109;&#121; diagnosis, I&#039;m dedicated to educating Canadians about &#116;&#104;&#101; disease,&quot; &#115;&#097;&#105;&#100; Ms. Stacey. &quot;&#116;&#104;&#101; most frightening &#116;&#104;&#105;&#110;&#103; about &#116;&#104;&#101; stigma &#105;&#115; &#116;&#104;&#097;&#116; &#105;&#116; &#099;&#114;&#101;&#097;&#116;&#101;&#115; &#097;&#110; enormous barrier for people infected &#119;&#105;&#116;&#104; hepatitis C to get diagnosed &#097;&#110;&#100; receive treatment &#116;&#104;&#097;&#116; could cure &#116;&#104;&#101;&#105;&#114; disease.&quot;</p>
<p><b>About HCV: &#097; Silent Disease</b></p>
<p>Approximately one-in-three &#111;&#102; &#116;&#104;&#111;&#115;&#101; infected &#119;&#105;&#116;&#104; HCV are &#110;&#111;&#116; aware &#111;&#102; &#116;&#104;&#101;&#105;&#114; infection &#097;&#110;&#100; &#105;&#116; often goes undetected for many years &#117;&#110;&#116;&#105;&#108; symptoms appear.7 Symptoms can include fever, fatigue, reduced appetite, stomach pain, &#100;&#097;&#114;&#107; urine, jaundice (yellowing &#111;&#102; skin or eyes), nausea &#097;&#110;&#100; vomiting, aching muscles &#097;&#110;&#100; joints, &#097;&#110;&#100; poor concentration.8 If left untreated, HCV may lead, in &#115;&#111;&#109;&#101; patients, to liver fibrosis, cirrhosis, liver cancer &#097;&#110;&#100; liver failure.9</p>
<p><b>About &#116;&#104;&#101; Studies</b></p>
<p>The &#116;&#119;&#111; studies (HCV RESPOND-2 &#097;&#110;&#100; HCV SPRINT-2) each evaluated &#116;&#119;&#111; &#110;&#101;&#119; treatment strategies &#119;&#105;&#116;&#104; boceprevir administered in combination &#119;&#105;&#116;&#104; peginterferon alfa-2b &#097;&#110;&#100; ribavirin (PR) to assess &#116;&#104;&#101; ability &#111;&#102; boceprevir to improve SVR rates &#8211; &#116;&#104;&#101; goal &#111;&#102; treatment &#8211; &#097;&#110;&#100; potentially shorten &#111;&#118;&#101;&#114;&#097;&#108;&#108; treatment duration compared to &#116;&#104;&#101; &#117;&#115;&#101; &#111;&#102; PR alone for 48 weeks, which &#105;&#115; &#116;&#104;&#101; current standard duration &#111;&#102; therapy.</p>
<p>The HCV RESPOND-2 study examined &#116;&#104;&#101; &#117;&#115;&#101; &#111;&#102; boceprevir in adult patients who previously failed to eradicate &#116;&#104;&#101; virus &#119;&#105;&#116;&#104; current standard therapy, including patients who had either relapsed &#097;&#102;&#116;&#101;&#114; initially clearing &#116;&#104;&#101; virus or &#119;&#101;&#114;&#101; non-responders to prior treatment &#119;&#105;&#116;&#104; PR. &#116;&#104;&#101; HCV SPRINT-2 study examined &#116;&#104;&#101; &#117;&#115;&#101; &#111;&#102; boceprevir in adult patients who &#119;&#101;&#114;&#101; treatment-na&#239;ve (no prior treatment).</p>
<p>A total &#111;&#102; 1,500 patients participated in &#116;&#104;&#101; &#116;&#119;&#111; studies, &#119;&#105;&#116;&#104; &#110;&#101;&#097;&#114;&#108;&#121; 10 &#112;&#101;&#114; cent &#111;&#102; patients (146) recruited at 15 Canadian investigation sites. &#160;In each study, patients &#119;&#101;&#114;&#101; randomized to &#111;&#110;&#101; &#111;&#102; &#116;&#104;&#114;&#101;&#101; treatment arms:</p>
<ul>
<li><b>Response-guided therapy (RGT)</b>, in which total treatment duration &#119;&#097;&#115; based on certain early response criteria. Treatment-failure patients &#119;&#105;&#116;&#104; undetectable virus (HCV-RNA) at week eight &#119;&#101;&#114;&#101; eligible to stop all treatment at 36 weeks. Treatment-na&#239;ve patients who had undetectable virus (HCV-RNA) during weeks eight through 24 &#119;&#101;&#114;&#101; eligible to stop all treatment at 28 weeks.</li>
<li><b>48 weeks &#111;&#102; treatment</b>, in which patients received &#097; four-week lead-in &#119;&#105;&#116;&#104; PR &#102;&#111;&#108;&#108;&#111;&#119;&#101;&#100; by &#116;&#104;&#101; addition &#111;&#102; boceprevir for 44 weeks.</li>
<li><b>Control</b>, in which patients received PR for 48 weeks.</li>
</ul>
<p>In &#116;&#104;&#101; HCV RESPOND-2 study (treatment-failure patients), &#116;&#104;&#101; addition &#111;&#102; boceprevir in &#116;&#104;&#101; RGT arm resulted in 59 &#112;&#101;&#114; cent &#111;&#102; patients eliminating &#116;&#104;&#101; virus &#097;&#110;&#100; 66 &#112;&#101;&#114; cent in &#116;&#104;&#101; 48-week treatment arm, compared to 21 &#112;&#101;&#114; cent in &#116;&#104;&#101; control group (p&lt;0.0001).</p>
<p>In &#116;&#104;&#101; HCV SPRINT-2 study (treatment-na&#239;ve patients), &#116;&#104;&#101; addition &#111;&#102; boceprevir in &#116;&#104;&#101; RGT arm resulted in 63 &#112;&#101;&#114; cent &#111;&#102; patients eliminating &#116;&#104;&#101; virus &#097;&#110;&#100; 66 &#112;&#101;&#114; cent for &#116;&#104;&#101; 48 week treatment arm, compared to 38 &#112;&#101;&#114; cent in &#116;&#104;&#101; control group (p&lt;0.0001).</p>
<p>Study authors reported &#116;&#104;&#097;&#116; &#110;&#101;&#097;&#114;&#108;&#121; &#104;&#097;&#108;&#102; &#111;&#102; all patients in &#116;&#104;&#101; RGT arms &#111;&#102; both studies met &#116;&#104;&#101; early response criteria, meaning &#116;&#104;&#097;&#116; they received &#097; shorter total duration &#111;&#102; therapy. In &#116;&#104;&#101; HCV RESPOND-2 study, 46 &#112;&#101;&#114; cent &#111;&#102; patients met &#116;&#104;&#101; early response criteria, &#097;&#110;&#100; &#119;&#101;&#114;&#101; &#097;&#098;&#108;&#101; to stop all treatment at 36 weeks (12 weeks shorter than current standard therapy). In &#116;&#104;&#101; HCV SPRINT-2 study,&#160; 44 &#112;&#101;&#114; cent &#111;&#102; patients met &#116;&#104;&#101; early response criteria &#097;&#110;&#100; &#119;&#101;&#114;&#101; &#097;&#098;&#108;&#101; to stop all treatment at 28 weeks&#160;(20 weeks shorter than current standard therapy).</p>
<p>In &#116;&#104;&#101; HCV RESPOND-2 study, &#116;&#104;&#101; most commonly reported &#115;&#105;&#100;&#101; effects &#119;&#101;&#114;&#101; fatigue, headache, nausea, chills &#097;&#110;&#100; influenza-like illness. &#115;&#101;&#114;&#105;&#111;&#117;&#115; adverse events &#119;&#101;&#114;&#101; reported in 10 &#112;&#101;&#114; cent &#111;&#102; patients in &#116;&#104;&#101; RGT arm &#111;&#102; &#116;&#104;&#101; study, 14 &#112;&#101;&#114; cent &#111;&#102; patients in &#116;&#104;&#101; 48-week treatment arm &#097;&#110;&#100; in &#102;&#105;&#118;&#101; &#112;&#101;&#114; cent &#111;&#102; patients in &#116;&#104;&#101; control group. Discontinuation &#111;&#102; treatment due to adverse events over &#116;&#104;&#101; total course &#111;&#102; &#116;&#104;&#101; study &#119;&#097;&#115; eight &#112;&#101;&#114; cent in &#116;&#104;&#101; RGT arm, 12 &#112;&#101;&#114; cent for &#116;&#104;&#101; 48-week treatment arm &#097;&#110;&#100; &#116;&#104;&#114;&#101;&#101; &#112;&#101;&#114; cent for control.</p>
<p><b>Tolerability profile in treatment-failure patients</b></p>
<p>The &#102;&#105;&#118;&#101; most common treatment-related adverse events in &#116;&#104;&#101; HCV RESPOND-2 study reported for patients receiving boceprevir in RGT, boceprevir in &#097; 48-week treatment regimen &#097;&#110;&#100; control, respectively, &#119;&#101;&#114;&#101;: fatigue, headache, nausea, anemia &#097;&#110;&#100; chills.&#160; &#115;&#101;&#114;&#105;&#111;&#117;&#115; adverse events &#119;&#101;&#114;&#101; reported in 10, 14 &#097;&#110;&#100; &#102;&#105;&#118;&#101; &#112;&#101;&#114; cent &#111;&#102; patients in &#116;&#104;&#101; study arms, respectively.&#160; There &#119;&#097;&#115; &#111;&#110;&#101; death in &#116;&#104;&#101; study, &#097; suicide in &#116;&#104;&#101; group receiving boceprevir in RGT, which occurred 18 weeks &#097;&#102;&#116;&#101;&#114; &#116;&#104;&#101; &#101;&#110;&#100; &#111;&#102; &#116;&#104;&#101; study treatment &#097;&#110;&#100; &#119;&#097;&#115; considered to &#098;&#101; unrelated to &#116;&#104;&#101; study treatment.</p>
<p>Treatment discontinuations due to adverse events over &#116;&#104;&#101; total course &#111;&#102; all treatment &#119;&#101;&#114;&#101; eight &#112;&#101;&#114; cent &#097;&#110;&#100; 12 &#112;&#101;&#114; cent for patients receiving boceprevir in RGT &#097;&#110;&#100; boceprevir in &#097; 48-week treatment regimen, respectively, compared to &#116;&#119;&#111; &#112;&#101;&#114; cent for control. Treatment discontinuations due to anemia &#119;&#101;&#114;&#101; 0 &#112;&#101;&#114; cent &#097;&#110;&#100; &#116;&#104;&#114;&#101;&#101; &#112;&#101;&#114; cent for &#116;&#104;&#101; treatment groups receiving boceprevir, respectively, compared to 0 &#112;&#101;&#114; cent for control.</p>
<p><b>Tolerability profile in treatment-na&#239;ve patients</b></p>
<p>The &#102;&#105;&#118;&#101; most common treatment-related adverse events in &#116;&#104;&#101; HCV SPRINT-2 study reported for patients receiving boceprevir in RGT, boceprevir in &#097; 48-week treatment regimen &#097;&#110;&#100; control, respectively, &#119;&#101;&#114;&#101;: fatigue, headache, nausea, anemia &#097;&#110;&#100; dysgeusia (bad taste). &#115;&#101;&#114;&#105;&#111;&#117;&#115; adverse events &#119;&#101;&#114;&#101; reported in 11, 12 &#097;&#110;&#100; &#110;&#105;&#110;&#101; &#112;&#101;&#114; cent &#111;&#102; patients in &#116;&#104;&#101; study arms, respectively. There &#119;&#101;&#114;&#101; &#115;&#105;&#120; deaths during &#116;&#104;&#101; study: four patients in &#116;&#104;&#101; control group died, &#097;&#115; &#100;&#105;&#100; &#116;&#119;&#111; patients in &#116;&#104;&#101; boceprevir groups. &#116;&#119;&#111; suicides (one patient in &#116;&#104;&#101; control group &#097;&#110;&#100; &#111;&#110;&#101; patient receiving boceprevir in RGT) &#119;&#101;&#114;&#101; judged to &#104;&#097;&#118;&#101; possibly &#098;&#101;&#101;&#110; related to peginterferon.&#160; &#110;&#111; other deaths &#119;&#101;&#114;&#101; considered to &#098;&#101; drug-related.</p>
<p>Treatment discontinuations due to adverse events over &#116;&#104;&#101; total course &#111;&#102; all treatment &#119;&#101;&#114;&#101; 12 &#112;&#101;&#114; cent &#097;&#110;&#100; 16 &#112;&#101;&#114; cent for patients receiving boceprevir in RGT &#097;&#110;&#100; boceprevir in &#097; 48-week treatment regimen, respectively, compared to 16 &#112;&#101;&#114; cent for control.&#160; Treatment discontinuations due to anemia &#119;&#101;&#114;&#101; &#116;&#119;&#111; &#112;&#101;&#114; cent for each &#111;&#102; &#116;&#104;&#101; treatment groups receiving boceprevir compared to &#111;&#110;&#101; &#112;&#101;&#114; cent for control.</p>
<p>The HCV RESPOND-2 &#097;&#110;&#100; HCV SPRINT-2 studies each employed futility or &quot;stopping&quot; rules, whereby patients in any treatment arm who had detectable virus at week 12 in &#116;&#104;&#101; HCV RESPOND-2 study or at week 24 in &#116;&#104;&#101; HCV SPRINT-2 study &#119;&#101;&#114;&#101; considered treatment failures &#097;&#110;&#100; discontinued all treatment.&#160; &#160;&#116;&#104;&#101; &#115;&#116;&#111;&#112;&#112;&#105;&#110;&#103; rules allowed study patients who &#100;&#105;&#100; &#110;&#111;&#116; respond to treatment to &#104;&#097;&#118;&#101; therapy stopped early, thereby avoiding unnecessary treatment.</p>
<p>Boceprevir &#105;&#115; &#097;&#110; investigational medication &#097;&#110;&#100; &#110;&#111;&#116; &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; available in Canada.</p>
<p><b>Merck&#039;s global commitment to advancing hepatitis therapy</b></p>
<p>Merck &#105;&#115; committed to building on its strong legacy in &#116;&#104;&#101; field &#111;&#102; viral hepatitis by continuing to discover, develop &#097;&#110;&#100; deliver vaccines &#097;&#110;&#100; medicines to &#104;&#101;&#108;&#112; prevent &#097;&#110;&#100; treat viral hepatitis.&#160; Extensive research efforts are underway to develop differentiated oral therapies &#116;&#104;&#097;&#116; bring innovation to viral hepatitis care.</p>
<p><b>About Merck</b></p>
<p>Today&#039;s Merck &#105;&#115; &#097; global healthcare leader working to &#104;&#101;&#108;&#112; &#116;&#104;&#101; world &#098;&#101; well.&#160; Merck &#105;&#115; known &#097;&#115; MSD &#111;&#117;&#116;&#115;&#105;&#100;&#101; &#116;&#104;&#101; United States &#097;&#110;&#100; Canada. Through &#111;&#117;&#114; prescription medicines, vaccines, biologic therapies, &#097;&#110;&#100; consumer care &#097;&#110;&#100; animal health products, we work &#119;&#105;&#116;&#104; customers &#097;&#110;&#100; operate in more than 140 countries to deliver innovative health solutions. We also demonstrate &#111;&#117;&#114; commitment to increasing access to healthcare through far-reaching policies, programs &#097;&#110;&#100; partnerships. For more information, visit merck.ca.</p>
<p><b>Forward-Looking Statement</b></p>
<p>This news release includes &quot;forward-looking statements&quot; &#119;&#105;&#116;&#104;&#105;&#110; &#116;&#104;&#101; meaning &#111;&#102; &#116;&#104;&#101; safe harbor provisions &#111;&#102; &#116;&#104;&#101; United States Private Securities Litigation Reform Act &#111;&#102; 1995. &#115;&#117;&#099;&#104; statements may include, &#098;&#117;&#116; are &#110;&#111;&#116; limited to, statements about &#116;&#104;&#101; benefits &#111;&#102; &#116;&#104;&#101; merger between Merck &#097;&#110;&#100; &#160;&#160; Schering-Plough, including future financial &#097;&#110;&#100; operating results, &#116;&#104;&#101; combined company&#039;s plans, objectives, expectations &#097;&#110;&#100; intentions &#097;&#110;&#100; other statements &#116;&#104;&#097;&#116; are &#110;&#111;&#116; historical facts. &#115;&#117;&#099;&#104; statements are based &#117;&#112;&#111;&#110; &#116;&#104;&#101; current beliefs &#097;&#110;&#100; expectations &#111;&#102; Merck&#039;s management &#097;&#110;&#100; are subject to significant risks &#097;&#110;&#100; uncertainties. Actual results may differ &#102;&#114;&#111;&#109; &#116;&#104;&#111;&#115;&#101; set forth in &#116;&#104;&#101; forward-looking statements.</p>
<p>The &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; factors, &#097;&#109;&#111;&#110;&#103; others, could cause actual results to differ &#102;&#114;&#111;&#109; &#116;&#104;&#111;&#115;&#101; set forth in &#116;&#104;&#101; forward-looking statements: &#116;&#104;&#101; possibility &#116;&#104;&#097;&#116; &#116;&#104;&#101; expected synergies &#102;&#114;&#111;&#109; &#116;&#104;&#101; merger &#111;&#102; Merck &#097;&#110;&#100; Schering-Plough &#119;&#105;&#108;&#108; &#110;&#111;&#116; &#098;&#101; realized, or &#119;&#105;&#108;&#108; &#110;&#111;&#116; &#098;&#101; realized &#119;&#105;&#116;&#104;&#105;&#110; &#116;&#104;&#101; expected time period; &#116;&#104;&#101; impact &#111;&#102; pharmaceutical industry regulation &#097;&#110;&#100; health care legislation; &#116;&#104;&#101; risk &#116;&#104;&#097;&#116; &#116;&#104;&#101; businesses &#119;&#105;&#108;&#108; &#110;&#111;&#116; &#098;&#101; integrated successfully; disruption &#102;&#114;&#111;&#109; &#116;&#104;&#101; merger &#109;&#097;&#107;&#105;&#110;&#103; &#105;&#116; more difficult to maintain business &#097;&#110;&#100; operational relationships; Merck&#039;s ability to accurately predict future market conditions; dependence on &#116;&#104;&#101; effectiveness &#111;&#102; Merck&#039;s patents &#097;&#110;&#100; other protections for innovative products; &#116;&#104;&#101; risk &#111;&#102; &#110;&#101;&#119; &#097;&#110;&#100; changing regulation &#097;&#110;&#100; health policies in &#116;&#104;&#101; United States &#097;&#110;&#100; internationally &#097;&#110;&#100; &#116;&#104;&#101; exposure to litigation and/or regulatory actions.</p>
<p>Merck undertakes &#110;&#111; obligation to publicly update any forward-looking statement, &#119;&#104;&#101;&#116;&#104;&#101;&#114; &#097;&#115; &#097; result &#111;&#102; &#110;&#101;&#119; information, future events or otherwise. Additional factors &#116;&#104;&#097;&#116; could cause results to differ materially &#102;&#114;&#111;&#109; &#116;&#104;&#111;&#115;&#101; described in &#116;&#104;&#101; forward-looking statements can &#098;&#101; found in Merck&#039;s 2009 Annual Report on Form 10-K &#097;&#110;&#100; &#116;&#104;&#101; company&#039;s other filings &#119;&#105;&#116;&#104; &#116;&#104;&#101; Securities &#097;&#110;&#100; Exchange Commission (SEC) available at &#116;&#104;&#101; SEC&#039;s Internet site (sec.gov).</p>
<p>1&#160;Merck news release: In Pivotal Phase III Studies, Merck&#039;s Investigational Medicine Boceprevir &#104;&#101;&#108;&#112;&#101;&#100; Majority &#111;&#102; Patients &#119;&#105;&#116;&#104; Chronic Hepatitis C Genotype 1 Infection Achieve Sustained Virologic Response, &#116;&#104;&#101; Primary Endpoint &#111;&#102; &#116;&#104;&#101; Studies. Available at:&#160; merck.com/newsroom/news-release-archive/research-and-development/2010_0804.html. March 15, 2011.2 &#160;<i>Ibid</i> .3 &#160;Canadian Institutes &#111;&#102; Health Research. About &#116;&#104;&#101; Hep C Research Initiative. cihr-irsc.gc.ca/e/38855.html. Accessed March 23, 2011.4 &#160;Public Health Agency &#111;&#102; Canada. phac-aspc.gc.ca/hepc/pubs/multiling-hepc/index-eng.php. Accessed March 23, 2011.5 &#160;Canadian Liver Foundation. liver.ca/Liver_Disease/. Accessed March 23, 2011.6 &#160;Sherman M, Shafran S, Burak K, &#101;&#116; al. Management &#111;&#102; Chronic Hepatitis C: Consensus Guidelines. Can J Gastroenterol (2007).7 &#160;Public Health Agency &#111;&#102; Canada.phac-aspc.gc.ca/hepc/pubs/ihp-ips/index-eng.php. Accessed March 21, 2011.8 &#160;Health Canada. hc-sc.gc.ca/hl-vs/iyh-vsv/diseases-maladies/hepc-eng.php. Accessed March 23, 2011.9 &#160;Public Health Agency &#111;&#102; Canada. phac-aspc.gc.ca/hepc/pubs/multiling-hepc/index-eng.php. Accessed March 18, 2011.</p></p>
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		<title>immatics to Receive Support From Pfizer for its Pivotal Phase III Study (IMPRINT) With IMA901, a Therapeutic Vaccine for Advanced Renal Cell Cancer Patients</title>
		<link>http://symptomadvice.com/immatics-to-receive-support-from-pfizer-for-its-pivotal-phase-iii-study-imprint-with-ima901-a-therapeutic-vaccine-for-advanced-renal-cell-cancer-patients/</link>
		<comments>http://symptomadvice.com/immatics-to-receive-support-from-pfizer-for-its-pivotal-phase-iii-study-imprint-with-ima901-a-therapeutic-vaccine-for-advanced-renal-cell-cancer-patients/#comments</comments>
		<pubDate>Tue, 12 Apr 2011 10:17:12 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[liver symptoms]]></category>
		<category><![CDATA[paul higham]]></category>
		<category><![CDATA[phase iii]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/immatics-to-receive-support-from-pfizer-for-its-pivotal-phase-iii-study-imprint-with-ima901-a-therapeutic-vaccine-for-advanced-renal-cell-cancer-patients/</guid>
		<description><![CDATA[TUEBINGEN, Germany, April 11, 2011 /PRNewswire/ &#8212; immaticsbiotechnologies GmbH, &#097; clinical-stage biopharmaceutical company developingadvanced therapeutic vaccines &#116;&#104;&#097;&#116; are active against cancer, today announcedthat Pfizer has agreed &#116;&#111; support &#105;&#116;&#115; pivotal Phase III trial (IMPRINT =IMA901 Multi-Peptide vaccine Randomized INTernational study) &#119;&#105;&#116;&#104; IMA901, itstherapeutic cancer vaccine &#102;&#111;&#114; advanced renal cell carcinoma. The pivotal Phase III study [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/04/1302603432-86.jpg%3Fw%3D700%26h%3D400" style="clear:both;clear:both;margin:0 15px 15px 0;width:500px" />
<p> TUEBINGEN, Germany, April 11, 2011 /PRNewswire/ &#8212; immaticsbiotechnologies GmbH, &#097; clinical-stage biopharmaceutical company developingadvanced therapeutic vaccines &#116;&#104;&#097;&#116; are active against cancer, today announcedthat Pfizer has agreed &#116;&#111; support &#105;&#116;&#115; pivotal Phase III trial (IMPRINT =IMA901 Multi-Peptide vaccine Randomized INTernational study) &#119;&#105;&#116;&#104; IMA901, itstherapeutic cancer vaccine &#102;&#111;&#114; advanced renal cell carcinoma.</p>
<p> The pivotal Phase III study will evaluate &#097;&#115; the primary endpoint theoverall survival of advanced renal cell carcinoma patients treated withIMA901 in combination &#119;&#105;&#116;&#104; Pfizer&#039;s Sutent(R) (sunitinib malate) versusSutent(R) alone. The study &#105;&#115; expected &#116;&#111; enroll approximately 330 patientsacross Europe &#097;&#110;&#100; in the US.</p>
<p> Pfizer will support the trial by supplying Sutent(R) &#102;&#111;&#114; &#097;&#108;&#108; the patientsenrolled in the pivotal study. The first patients are expected &#116;&#111; starttreatment in April 2011.</p>
<p> Paul Higham, CEO of immatics, said: &quot;We are extremely &#112;&#108;&#101;&#097;&#115;&#101;&#100; &#116;&#104;&#097;&#116; Pfizerhas committed &#116;&#111; supporting &#111;&#117;&#114; pivotal Phase III trial &#119;&#105;&#116;&#104; IMA901 &#119;&#105;&#116;&#104; thesupply of Sutent. Their decision reflects the growing interest in IMA901 andits potential &#116;&#111; be an &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; breakthrough in the treatment of renal cellcarcinoma patients.&quot;</p>
<p> IMA901 has generated encouraging &#111;&#118;&#101;&#114;&#097;&#108;&#108; survival data, &#119;&#104;&#105;&#099;&#104; comparefavorably &#119;&#105;&#116;&#104; historical comparisons of &#099;&#117;&#114;&#114;&#101;&#110;&#116;&#108;&#121; &#097;&#118;&#097;&#105;&#108;&#097;&#098;&#108;&#101; treatments, in aPhase II trial in advanced renal cell carcinoma patients. Importantly, thePhase II study &#097;&#108;&#115;&#111; &#115;&#104;&#111;&#119;&#101;&#100; an association between survival &#097;&#110;&#100; the patient&#039;simmune response &#116;&#111; IMA901, &#097;&#115; &#119;&#101;&#108;&#108; &#097;&#115; confirming the favorable safety profileobserved in an earlier Phase I study.</p>
<p> &quot;Pfizer &#105;&#115; &#112;&#108;&#101;&#097;&#115;&#101;&#100; &#116;&#111; provide Sutent &#116;&#111; support immatic&#039;s clinicaldevelopment program in advanced renal cell carcinoma patients,&quot; said CraigEagle, Vice President of Strategic Alliances &#097;&#110;&#100; Partnerships &#102;&#111;&#114; PfizerOncology. &quot;This collaboration underscores Pfizer&#039;s ongoing commitment &#116;&#111; thediscovery, investigation &#097;&#110;&#100; development of innovative treatment options toimprove the outlook &#102;&#111;&#114; cancer patients worldwide.&quot;</p>
<p> &#102;&#111;&#114; more information &#111;&#110; SUTENT &#097;&#110;&#100; Pfizer &#112;&#108;&#101;&#097;&#115;&#101; visitpfizer.com.</p>
<p> &#097;&#098;&#111;&#117;&#116; IMA901</p>
<p> IMA901 &#105;&#115; &#097; therapeutic cancer vaccine comprising 10 tumor-associatedpeptides (TUMAPs) &#116;&#104;&#097;&#116; are frequently &#102;&#111;&#117;&#110;&#100; &#116;&#111; be over-expressed in themajority of patients suffering from renal cell carcinoma. &#097;&#115; &#119;&#105;&#116;&#104; allimmatics&#039; vaccines, IMA901 has been designed &#116;&#111; elicit &#097; strong, clinicallyrelevant immune response &#116;&#111; &#097; specific tumor type. The TUMAPs were selectedfrom over 2,000 peptides identified &#118;&#105;&#097; immatics&#039; unique XPRESIDENT(TM)platform. TUMAPs included in IMA901 are from targets &#119;&#105;&#116;&#104; vital functions forthe tumor, &#102;&#111;&#114; &#101;&#120;&#097;&#109;&#112;&#108;&#101; invasion, neo-angiogenesis.</p>
<p> &#097;&#098;&#111;&#117;&#116; SUTENT((R)) (sunitinib malate)</p>
<p> SUTENT &#105;&#115; an oral multi-kinase inhibitor approved &#102;&#111;&#114; the treatment ofadvanced/metastatic renal cell carcinoma (RCC), unresectable and/ormetastatic malignant gastrointestinal stromal tumor (GIST) after failure ofimatinib mesilate treatment &#100;&#117;&#101; &#116;&#111; resistance &#111;&#114; intolerance.</p>
<p> In Europe, SUTENT &#105;&#115; &#097;&#108;&#115;&#111; &#105;&#110;&#100;&#105;&#099;&#097;&#116;&#101;&#100; &#102;&#111;&#114; the treatment of unresectable ormetastatic, well-differentiated pancreatic neuroendocrine tumours withdisease progression in adults. Experience &#119;&#105;&#116;&#104; SUTENT &#097;&#115; first-line treatmentis limited.</p>
<p> SUTENT works by blocking multiple molecular targets implicated in thegrowth, proliferation &#097;&#110;&#100; spread of cancer. Two &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; SUTENT targets,vascular endothelial growth factor receptor (VEGFR) &#097;&#110;&#100; platelet-derivedgrowth factor receptor (PDGFR), are expressed by &#109;&#097;&#110;&#121; types of solid tumorsand are &#116;&#104;&#111;&#117;&#103;&#104;&#116; &#116;&#111; play &#097; crucial role in angiogenesis, the process by whichtumors acquire blood vessels, oxygen &#097;&#110;&#100; nutrients needed &#102;&#111;&#114; growth. SUTENTalso inhibits &#111;&#116;&#104;&#101;&#114; targets &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; &#116;&#111; tumor growth, including KIT, FLT3and RET.</p>
<p> &#105;&#109;&#112;&#111;&#114;&#116;&#097;&#110;&#116; SUTENT((R)) (sunitinib malate) Safety Information</p>
<p> Hepatotoxicity has been observed in clinical trials &#097;&#110;&#100; post-marketingexperience. Cases of hepatic failure, some &#119;&#105;&#116;&#104; &#097; fatal outcome, wereobserved in &lt;1% of solid tumor patients treated &#119;&#105;&#116;&#104; SUTENT. &#105;&#116; isrecommended &#116;&#111; monitor liver function tests before initiation of treatment,&#100;&#117;&#114;&#105;&#110;&#103; &#101;&#097;&#099;&#104; cycle of treatment, &#097;&#110;&#100; &#097;&#115; clinically &#105;&#110;&#100;&#105;&#099;&#097;&#116;&#101;&#100;. &#105;&#102; signs orsymptoms of hepatic failure are present, sunitinib &#115;&#104;&#111;&#117;&#108;&#100; be discontinued andappropriate supportive care &#115;&#104;&#111;&#117;&#108;&#100; be &#112;&#114;&#111;&#118;&#105;&#100;&#101;&#100;.</p>
<p> Women of child bearing age &#119;&#104;&#111; are (or become) pregnant &#100;&#117;&#114;&#105;&#110;&#103; therapyshould be informed of the potential &#102;&#111;&#114; fetal harm &#119;&#104;&#105;&#108;&#101; &#111;&#110; SUTENT.</p>
<p> Decreases in left ventricular ejection fraction (LVEF) &#116;&#111; below the lowerlimit of normal (LLN) &#104;&#097;&#118;&#101; been observed. Patients &#119;&#105;&#116;&#104; concomitant cardiacconditions &#115;&#104;&#111;&#117;&#108;&#100; be carefully monitored &#102;&#111;&#114; clinical signs &#097;&#110;&#100; symptoms ofcongestive heart failure. Patients &#115;&#104;&#111;&#117;&#108;&#100; be monitored &#102;&#111;&#114; hypertension andtreated &#097;&#115; needed &#119;&#105;&#116;&#104; standard antihypertensive therapy. Complete bloodcounts (CBCs) &#119;&#105;&#116;&#104; platelet count &#097;&#110;&#100; serum chemistries &#115;&#104;&#111;&#117;&#108;&#100; be performedat the beginning of &#101;&#097;&#099;&#104; treatment cycle &#102;&#111;&#114; patients receiving treatmentwith SUTENT.</p>
<p> The &#109;&#111;&#115;&#116; common adverse reactions in GIST, RCC &#097;&#110;&#100; pancreatic NETclinical trials were diarrhea, fatigue, asthenia, nausea,mucositis/stomatitis, anorexia, vomiting, neutropenia, hypertension,dyspepsia, abdominal pain, constipation, rash, hand-foot syndrome, skindiscoloration, hair color changes, altered taste &#097;&#110;&#100; bleeding. &#102;&#111;&#114; moreinformation &#111;&#110; SUTENT &#097;&#110;&#100; Pfizer Oncology, including &#102;&#117;&#108;&#108; prescribinginformation &#102;&#111;&#114; SUTENT (sunitinib malate), &#112;&#108;&#101;&#097;&#115;&#101; visit pfizer.com.</p>
<p> &#097;&#098;&#111;&#117;&#116; immatics</p>
<p> immatics biotechnologies &#105;&#115; &#097; clinical-stage biopharmaceutical companydeveloping rationally designed therapeutic vaccines &#116;&#104;&#097;&#116; are active againstcancer. immatics&#039; lead product, IMA901, has completed &#097; successful phase IItrial in renal cell carcinoma. immatics&#039; pipeline &#097;&#108;&#115;&#111; includes IMA910, inphase II &#102;&#111;&#114; colorectal cancer, &#097;&#110;&#100; IMA950 &#119;&#104;&#105;&#099;&#104; &#105;&#115; in phase I &#102;&#111;&#114; glioma.</p>
<p> immatics&#039; XPRESIDENT(TM) technology platform rapidly generates definedtherapeutic cancer vaccines, based &#111;&#110; multiple tumor-associated peptides(TUMAPs), &#116;&#104;&#097;&#116; &#104;&#097;&#118;&#101; the ability &#116;&#111; specifically stimulate the immune systemagainst cancer cells. &#116;&#104;&#101;&#115;&#101; vaccines &#8211; comprising multiple peptides confirmedto be naturally presented by real tumor tissue &#8211; offer the prospect ofgreater effectiveness &#116;&#104;&#097;&#110; existing cancer vaccine approaches. immatics&#039;products are &#039;drug like&#039; &#119;&#105;&#116;&#104; stable, off-the-shelf formulations &#097;&#110;&#100; robusteasily scalable manufacturing.</p>
<p> immatics &#105;&#115; based in Tuebingen &#097;&#110;&#100; Munich, Germany. &#102;&#111;&#114; additional information &#111;&#110; immatics &#112;&#108;&#101;&#097;&#115;&#101; visit immatics.com &#111;&#114; contact: Paul Higham, CEO Katrin Eckert, Assistant &#116;&#111; the Management immatics biotechnologies GmbH Phone: +49-7071-5397-110 E-mail: David Dible / Chris Gardner / Sita Shah Citigate Dewe Rogerson Phone: +44-207-638-9571 E-mail: david.dible@citigatedr.&#099;&#111;.uk</p>
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		<title>Vertex: Stellar Data for Cystic Fibrosis Drug</title>
		<link>http://symptomadvice.com/vertex-stellar-data-for-cystic-fibrosis-drug/</link>
		<comments>http://symptomadvice.com/vertex-stellar-data-for-cystic-fibrosis-drug/#comments</comments>
		<pubDate>Wed, 02 Mar 2011 10:34:26 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[fibrosis symptoms]]></category>
		<category><![CDATA[experimental drug]]></category>
		<category><![CDATA[genetic disorders]]></category>
		<category><![CDATA[lung function]]></category>
		<category><![CDATA[phase iii]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/vertex-stellar-data-for-cystic-fibrosis-drug/</guid>
		<description><![CDATA[CAMBRIDGE, Mass. (TheStreet) &#8211;Vertex Pharmaceuticals(VRTX) released clinical trial results Wednesday demonstrating &#116;&#104;&#097;&#116; &#097;&#110; experimental drug VX-770 significantly improved lung function &#098;&#121; more &#116;&#104;&#097;&#110; 10% and &#112;&#114;&#111;&#118;&#105;&#100;&#101;&#100; other clinical benefits in adults &#119;&#105;&#116;&#104; &#097; specific form &#111;&#102; cystic fibrosis. &#116;&#104;&#101; results &#102;&#114;&#111;&#109; &#116;&#104;&#101; phase III study represent &#097; potential scientific breakthrough &#098;&#101;&#099;&#097;&#117;&#115;&#101; VX-770, &#105;&#102; eventually approved, [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/03/1299062066-79.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />CAMBRIDGE, Mass. (TheStreet) &#8211;<b>Vertex Pharmaceuticals</b>(VRTX) released clinical trial results Wednesday demonstrating &#116;&#104;&#097;&#116; &#097;&#110; experimental drug VX-770 significantly improved lung function &#098;&#121; more &#116;&#104;&#097;&#110; 10% and &#112;&#114;&#111;&#118;&#105;&#100;&#101;&#100; other clinical benefits in adults &#119;&#105;&#116;&#104; &#097; specific form &#111;&#102; cystic fibrosis. &#116;&#104;&#101; results &#102;&#114;&#111;&#109; &#116;&#104;&#101; phase III study represent &#097; potential scientific breakthrough &#098;&#101;&#099;&#097;&#117;&#115;&#101; VX-770, &#105;&#102; eventually approved, &#119;&#111;&#117;&#108;&#100; &#098;&#101; &#116;&#104;&#101; &#102;&#105;&#114;&#115;&#116; and &#111;&#110;&#108;&#121; drug &#116;&#111; repair &#116;&#104;&#101; underlying genetic cause &#111;&#102; cystic fibrosis rather &#116;&#104;&#097;&#110; merely treating &#116;&#104;&#101; symptoms &#111;&#102; &#116;&#104;&#101; disease. Vertex shares were up 20% &#116;&#111; $45.90 in Wednesday pre-market trading. VX-770 corrects &#097; genetic mutation &#102;&#111;&#117;&#110;&#100; &#111;&#110;&#108;&#121; in approximately 4% &#116;&#111; 7% &#111;&#102; &#116;&#104;&#101; 70,000 cystic fibrosis patients worldwide. &#116;&#104;&#101; number &#111;&#102; cystic fibrosis patients who stand &#116;&#111; benefit &#102;&#114;&#111;&#109; VX-770 &#109;&#097;&#121; &#098;&#101; small, but &#116;&#104;&#101; results &#102;&#114;&#111;&#109; &#116;&#104;&#101; study are so strong and clinically meaningful &#116;&#104;&#097;&#116; Vertex stands &#116;&#111; generate peak annual sales &#102;&#114;&#111;&#109; VX-770 in &#116;&#104;&#101; range &#111;&#102; $400 million &#116;&#111; $600 million &#105;&#102; &#116;&#104;&#101; drug &#105;&#115; priced comparable &#116;&#111; other expensive treatments for rare, genetic disorders. Vertex said Wednesday &#116;&#104;&#097;&#116; it plans &#116;&#111; seek regulatory approval for VX-770 in &#116;&#104;&#101; &#115;&#101;&#099;&#111;&#110;&#100; half &#111;&#102; &#116;&#104;&#101; year. Results &#102;&#114;&#111;&#109; &#116;&#104;&#101; phase III study &#107;&#110;&#111;&#119;&#110; as STRIVE reported &#098;&#121; Vertex &#115;&#104;&#111;&#119;&#101;&#100; &#116;&#104;&#097;&#116; treatment &#119;&#105;&#116;&#104; VX-770 through 24 weeks resulted in &#097; &#109;&#101;&#097;&#110; absolute improvement in lung function &#111;&#102; 10.6% compared &#116;&#111; placebo. This clinical benefit in favor &#111;&#102; VX-770 &#8212; &#116;&#104;&#101; primary endpoint &#111;&#102; &#116;&#104;&#101; STRIVE study &#8212; &#119;&#097;&#115; highly statistically significant and &#119;&#097;&#115; even sustained through 48 weeks &#111;&#102; treatment. &#116;&#104;&#101; STRIVE study enrolled 161 patients aged 12 and older. &#116;&#111; &#112;&#117;&#116; &#116;&#104;&#101; 10.6% absolute improvement in lung function in perspective, Vertex designed &#116;&#104;&#101; phase III study &#119;&#105;&#116;&#104; &#116;&#104;&#101; intent &#116;&#104;&#097;&#116; &#097; 4.5% improvement &#119;&#111;&#117;&#108;&#100; &#098;&#101; &#101;&#110;&#111;&#117;&#103;&#104; &#116;&#111; yield positive results. Wall Street&#8217;s professional biotech investors, as &#097; group, were expecting positive results &#102;&#114;&#111;&#109; &#116;&#104;&#101; VX-770 study but &#106;&#117;&#115;&#116; barely. In &#097; survey &#111;&#102; investors conducted &#098;&#121; ISI Group biotech analyst &#109;&#097;&#114;&#107; Schoenebaum released Tuesday, 87% &#111;&#102; respondents believed VX-770 &#119;&#111;&#117;&#108;&#100; improve lung function &#098;&#121; 5% or &#108;&#101;&#115;&#115; over placebo. &#106;&#117;&#115;&#116; 6% &#111;&#102; &#116;&#104;&#101; investors in Schoenebaum&#8217;s poll believed VX-770 could improve lung function &#098;&#121; 10% or more.</p>
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		<title>Eisai to Submit Marketing Authorization Applications in the U.S. and EU for Perampanel as Adjunctive Therapy for Partial Seizures in Patients with Epilepsy</title>
		<link>http://symptomadvice.com/eisai-to-submit-marketing-authorization-applications-in-the-u-s-and-eu-for-perampanel-as-adjunctive-therapy-for-partial-seizures-in-patients-with-epilepsy/</link>
		<comments>http://symptomadvice.com/eisai-to-submit-marketing-authorization-applications-in-the-u-s-and-eu-for-perampanel-as-adjunctive-therapy-for-partial-seizures-in-patients-with-epilepsy/#comments</comments>
		<pubDate>Sat, 12 Feb 2011 08:17:11 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[psoriasis symptoms]]></category>
		<category><![CDATA[dose response]]></category>
		<category><![CDATA[eisai]]></category>
		<category><![CDATA[global phase]]></category>
		<category><![CDATA[phase iii]]></category>
		<category><![CDATA[receptor antagonist]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/eisai-to-submit-marketing-authorization-applications-in-the-u-s-and-eu-for-perampanel-as-adjunctive-therapy-for-partial-seizures-in-patients-with-epilepsy/</guid>
		<description><![CDATA[HATFIELD, England, January 25, 2011 /PRNewswire/ &#8212; Eisai announced today that &#105;&#116; &#119;&#105;&#108;&#108; submit Marketing Authorization Applications &#105;&#110; &#116;&#104;&#101; United States and &#116;&#104;&#101; European Union &#102;&#111;&#114; &#116;&#104;&#101; investigational compound perampanel (E2007) based &#111;&#110; &#116;&#104;&#101; results of three Phase III pivotal studies. Perampanel &#105;&#115; a first-in-class, highly selective non-competitive AMPA-type glutamate receptor antagonist, discovered and being [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/02/1297498631-16.jpg%3Fw%3D792%26h%3D1300%26h%3D462" style="clear:both;clear:both;margin:0 15px 15px 0;width:500px" />
<p>HATFIELD, England, January 25, 2011 /PRNewswire/ &#8212; Eisai announced today that &#105;&#116; &#119;&#105;&#108;&#108; submit Marketing Authorization Applications &#105;&#110; &#116;&#104;&#101; United States and &#116;&#104;&#101; European Union &#102;&#111;&#114; &#116;&#104;&#101; investigational compound perampanel (E2007) based &#111;&#110; &#116;&#104;&#101; results of three Phase III pivotal studies. Perampanel &#105;&#115; a first-in-class, highly selective non-competitive AMPA-type glutamate receptor antagonist, discovered and being developed by Eisai &#102;&#111;&#114; adjunctive treatment of partial seizures &#105;&#110; patients &#119;&#105;&#116;&#104; epilepsy. Partial seizures involve epileptic activity &#105;&#110; just a part of &#116;&#104;&#101; brain and &#116;&#104;&#101; symptoms experienced depend &#111;&#110; which area of &#116;&#104;&#101; brain &#105;&#115; affected. </p>
<p> &#116;&#104;&#101; clinical development plan &#102;&#111;&#114; perampanel consisted of three global Phase III studies: Studies 306, 305 and 304 &#105;&#110; which a total of 1,490 patients participated. &#116;&#104;&#101; key goal of Study 306 was &#116;&#111; identify &#116;&#104;&#101; minimal effective dose and included four treatment arms (placebo, 2mg, 4mg, and 8mg). Studies 304 and 305 included three arms (placebo, 8mg, and 12mg) and were &#116;&#111; evaluate a &#109;&#111;&#114;&#101; extended dose range. </p>
<p> &#116;&#104;&#101; studies were similar &#105;&#110; design: global, randomized, double-blind, placebo-controlled, dose-escalation, parallel-group studies. &#116;&#104;&#101; primary and secondary endpoints were &#116;&#104;&#101; same &#105;&#110; all &#116;&#104;&#101; studies: standard median percent seizure reduction, 50% responder rate, percentage reduction of complex partial &#112;&#108;&#117;&#115; secondarily generalized seizures, and evaluation &#102;&#111;&#114; dose response. </p>
<p> &#101;&#097;&#099;&#104; of &#116;&#104;&#101; studies &#115;&#104;&#111;&#119;&#101;&#100; consistent results &#105;&#110; &#116;&#104;&#101; efficacy and tolerability of perampanel given &#097;&#115; an adjunctive therapy &#105;&#110; patients &#119;&#105;&#116;&#104; partial seizures. </p>
<p> Based upon these study results, Eisai intends &#116;&#111; submit regulatory applications simultaneously &#105;&#110; &#116;&#104;&#101; U.S. and EU during &#116;&#104;&#101; first quarter of &#111;&#117;&#114; Fiscal Year 2011. </p>
<p> &#116;&#104;&#101; development of perampanel &#105;&#115; an &#101;&#120;&#097;&#109;&#112;&#108;&#101; of Eisai´s human health care corporate mission. Eisai &#105;&#115; committed &#116;&#111; &#116;&#104;&#101; therapeutic area of epilepsy and addressing &#116;&#104;&#101; unmet medical &#110;&#101;&#101;&#100;&#115; of patients &#119;&#105;&#116;&#104; epilepsy and &#116;&#104;&#101;&#105;&#114; families. </p>
<p> &#097;&#098;&#111;&#117;&#116; Perampanel </p>
<p> Eisai &#105;&#115; currently developing perampanel &#102;&#111;&#114; &#116;&#104;&#101; potential treatment of partial seizures &#105;&#110; patients &#119;&#105;&#116;&#104; epilepsy. Perampanel &#105;&#115; a highly selective, non-competitive AMPA (a-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid)-type glutamate receptor antagonist that has demonstrated broad-spectrum anti-seizure effects &#105;&#110; Phase II and III studies. AMPA receptors, widely present &#105;&#110; almost all excitatory neurons, transmit signals stimulated by &#116;&#104;&#101; excitatory neurotransmitter glutamate within &#116;&#104;&#101; brain and are believed &#116;&#111; play a role &#105;&#110; central nervous system diseases characterized by excess neuroexcitatory signalling including epilepsy, neurodegenerative disorders, movement disorders, pain and psychiatric disorders. </p>
<p> &#105;&#102; approved, perampanel &#119;&#105;&#108;&#108; be &#116;&#104;&#101; first product &#105;&#110; &#116;&#104;&#105;&#115; class. </p>
<p> &#097;&#098;&#111;&#117;&#116; Epilepsy </p>
<p> Epilepsy &#105;&#115; &#111;&#110;&#101; of &#116;&#104;&#101; &#109;&#111;&#115;&#116; common neurological conditions &#105;&#110; &#116;&#104;&#101; world, affecting approximately 8 &#105;&#110; 1,000 people &#105;&#110; Europe(i). &#116;&#104;&#101;&#114;&#101; &#105;&#115; an estimated 2.4 million people living &#119;&#105;&#116;&#104; epilepsy &#105;&#110; Europe(ii) and estimated 50 million people worldwide.(iii) </p>
<p> Epilepsy &#105;&#115; a chronic disorder of &#116;&#104;&#101; brain that affects people of all ages. &#105;&#116; &#105;&#115; characterized by abnormal discharges of neuronal activity causing seizures. Seizures can vary &#105;&#110; severity, &#102;&#114;&#111;&#109; brief lapses of attention &#111;&#114; jerking of muscles, &#116;&#111; severe and prolonged convulsions. Depending &#111;&#110; &#116;&#104;&#101; seizure type, seizures &#109;&#097;&#121; be limited &#116;&#111; &#111;&#110;&#101; part of &#116;&#104;&#101; body, &#111;&#114; &#109;&#097;&#121; involve &#116;&#104;&#101; &#119;&#104;&#111;&#108;&#101; body. Seizures can &#097;&#108;&#115;&#111; vary &#105;&#110; frequency &#102;&#114;&#111;&#109; &#108;&#101;&#115;&#115; &#116;&#104;&#097;&#110; &#111;&#110;&#101; per year, &#116;&#111; several per day. Epilepsy has many &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; causes &#098;&#117;&#116; &#111;&#102;&#116;&#101;&#110; &#116;&#104;&#101; &#099;&#097;&#117;&#115;&#101; &#105;&#115; unknown. </p>
<p> &#097;&#098;&#111;&#117;&#116; Eisai Europe &#105;&#110; Epilepsy </p>
<p> Eisai &#105;&#115; committed &#116;&#111; developing and delivering highly beneficial &#110;&#101;&#119; treatments &#116;&#111; &#104;&#101;&#108;&#112; improve &#116;&#104;&#101; lives of people &#119;&#105;&#116;&#104; epilepsy. &#116;&#104;&#101; development of anti-epileptic drugs (AEDs) &#105;&#115; a major strategic area &#102;&#111;&#114; Eisai &#105;&#110; &#116;&#104;&#101; European market. </p>
<p> &#105;&#110; Europe, Eisai currently has three marketed treatments including: </p>
<p> &#8211; Zonegran(R) (zonisamide) &#097;&#115; adjunctive therapy &#105;&#110; adult patients &#119;&#105;&#116;&#104; partial-onset seizures, &#119;&#105;&#116;&#104; &#111;&#114; &#119;&#105;&#116;&#104;&#111;&#117;&#116; secondary generalisation &#8211; Zebinix(R) (eslicarbazepine acetate) &#097;&#115; adjunctive therapy &#105;&#110; adult patients &#119;&#105;&#116;&#104; partial-onset seizures, &#119;&#105;&#116;&#104; &#111;&#114; &#119;&#105;&#116;&#104;&#111;&#117;&#116; secondary generalization &#8211; Inovelon(R) (rufinamide) &#102;&#111;&#114; &#116;&#104;&#101; treatment of seizures associated &#119;&#105;&#116;&#104; Lennox-Gastaut Syndrome
<p> &#097;&#098;&#111;&#117;&#116; Eisai </p>
<p> Eisai &#105;&#115; &#111;&#110;&#101; of &#116;&#104;&#101; world´s leading research-based pharmaceutical companies that has defined &#105;&#116;&#115; corporate mission &#097;&#115; &#8220;giving first &#116;&#104;&#111;&#117;&#103;&#104;&#116; &#116;&#111; patients and &#116;&#104;&#101;&#105;&#114; families and &#116;&#111; increasing &#116;&#104;&#101; benefits health care provides, &#8221; which &#119;&#101; call human health care (hhc). Eisai concentrates &#105;&#116;&#115; research activities &#105;&#110; three key areas </p>
<p> &#8211; Integrative Neuroscience including: Epilepsy, Alzheimer´s disease, multiple sclerosis, neuropathic pain and depression &#8211; Integrative Oncology including: anticancer therapies; tumour regression, tumour suppression, antibodies, &#101;&#116;&#099; and supportive cancer therapies; pain relief and nausea &#8211; Vascular/Immunological Reaction including: acute coronary syndrome, atherothrombotic disease, sepsis, rheumatoid arthritis, psoriasis and Crohn´s disease
<p> &#119;&#105;&#116;&#104; operations &#105;&#110; &#116;&#104;&#101; U.S., Asia, Europe and &#105;&#116;&#115; domestic home market of Japan, Eisai &#101;&#109;&#112;&#108;&#111;&#121; &#109;&#111;&#114;&#101; &#116;&#104;&#097;&#110; 11,000 people worldwide. </p>
<p> &#105;&#110; Europe, Eisai undertakes sales and marketing operations &#105;&#110; over 20 markets, including &#116;&#104;&#101; United Kingdom, France, Germany, Italy, Spain, Switzerland, Sweden, Ireland, Austria, Denmark, Finland, Norway, Portugal, Iceland, Czech Republic, Hungary, and Slovakia. </p>
<p> &#102;&#111;&#114; further information please visit &#111;&#117;&#114; web site eisai.&#099;&#111;.jp</p>
<p> (i) Pugliatti M et al. Estimating &#116;&#104;&#101; cost of epilepsy &#105;&#110; Europe: A review &#119;&#105;&#116;&#104; economic modeling. Epilepsia 2007: 48(12) 2224 &#8211; 2233 </p>
<p> (ii) Forsgren L, Beghi E, Oun A, Sillanpaa M. &#116;&#104;&#101; epidemiology of epilepsy &#105;&#110; Europe &#8211; a systematic review. Eur J Neurol. 2005 Apr;12(4):245-53 </p>
<p> (iii) Epilepsy Society UK: epilepsysociety.org.uk/AboutEpilepsy/Whatisepilepsy/Epilepsy-didyouknow Last accessed Dec 2010 </p>
<p>Eisai Europe Limited</p>
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		<title>Santarus Announces Positive Top-Line Results in E.U. Phase III Clinical Study Evaluating Budesonide MMX in Ulcerative Colitis</title>
		<link>http://symptomadvice.com/santarus-announces-positive-top-line-results-in-e-u-phase-iii-clinical-study-evaluating-budesonide-mmx-in-ulcerative-colitis/</link>
		<comments>http://symptomadvice.com/santarus-announces-positive-top-line-results-in-e-u-phase-iii-clinical-study-evaluating-budesonide-mmx-in-ulcerative-colitis/#comments</comments>
		<pubDate>Mon, 06 Dec 2010 03:17:11 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[colitis symptoms]]></category>
		<category><![CDATA[european phase]]></category>
		<category><![CDATA[induction]]></category>
		<category><![CDATA[late september]]></category>
		<category><![CDATA[phase iii]]></category>
		<category><![CDATA[santarus inc]]></category>
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		<guid isPermaLink="false">http://symptomadvice.com/santarus-announces-positive-top-line-results-in-e-u-phase-iii-clinical-study-evaluating-budesonide-mmx-in-ulcerative-colitis/</guid>
		<description><![CDATA[NDA filing planned &#105;&#110; second &#104;&#097;&#108;&#102; &#111;&#102; 2011 &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; completion &#111;&#102; extended &#117;&#115;&#101; study Conference &#099;&#097;&#108;&#108; &#116;&#111; &#098;&#101;&#103;&#105;&#110; &#097;&#116; 4:30 p.m. Eastern time today SAN DIEGO&#8211;(BUSINESS WIRE)&#8211;Santarus, Inc. (NASDAQ:SNTS), &#097; specialty biopharmaceutical company, today announced positive top-line results &#102;&#114;&#111;&#109; &#097; second Phase III clinical study evaluating the safety &#097;&#110;&#100; efficacy &#111;&#102; budesonide MMX® &#102;&#111;&#114; the [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/12/1291605431-59.jpg" style="float:left;clear:both;margin:0 15px 15px 0" />
<p> <b>NDA filing planned &#105;&#110; second &#104;&#097;&#108;&#102; &#111;&#102; 2011 &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; completion &#111;&#102; extended &#117;&#115;&#101; study</b> </p>
<p> <b>Conference &#099;&#097;&#108;&#108; &#116;&#111; &#098;&#101;&#103;&#105;&#110; &#097;&#116; 4:30 p.m. Eastern time today</b> </p>
<p>SAN DIEGO&#8211;(BUSINESS WIRE)&#8211;Santarus, Inc. (NASDAQ:SNTS), &#097; specialty biopharmaceutical company, today announced positive top-line results &#102;&#114;&#111;&#109; &#097; second Phase III clinical study evaluating the safety &#097;&#110;&#100; efficacy &#111;&#102; budesonide MMX® &#102;&#111;&#114; the induction &#111;&#102; remission &#111;&#102; mild or moderate active ulcerative colitis. The study results show that budesonide MMX 9 mg &#116;&#097;&#107;&#101;&#110; &#111;&#110;&#099;&#101; daily met the primary endpoint &#111;&#102; superiority &#116;&#111; placebo (p=0.0047) &#105;&#110; achieving clinical remission &#097;&#115; measured by the ulcerative colitis disease activity index (UCDAI) score &#097;&#102;&#116;&#101;&#114; eight weeks &#111;&#102; treatment. &#116;&#104;&#105;&#115; second budesonide MMX Phase III clinical study &#119;&#097;&#115; conducted &#105;&#110; Europe &#105;&#110; collaboration &#119;&#105;&#116;&#104; Cosmo Technologies Ltd., &#097; subsidiary &#111;&#102; Cosmo Pharmaceuticals. </p>
<p>&#8220;&#119;&#101; &#112;&#108;&#097;&#110; &#116;&#111; submit &#097; &#110;&#101;&#119; Drug Application &#116;&#111; the U.S. Food &#097;&#110;&#100; Drug Administration (FDA) &#105;&#110; the second &#104;&#097;&#108;&#102; &#111;&#102; 2011, &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; completion &#111;&#102; &#097;&#110; extended &#117;&#115;&#101; study.&#8221;</p>
<p> “Positive top-line results &#102;&#114;&#111;&#109; the European Phase III study &#097;&#114;&#101; consistent &#119;&#105;&#116;&#104; &#116;&#104;&#111;&#115;&#101; &#102;&#114;&#111;&#109; the U.S. Phase III study that &#119;&#101; announced &#105;&#110; late September. &#098;&#111;&#116;&#104; studies &#105;&#110;&#100;&#105;&#099;&#097;&#116;&#101; that the higher, 9 mg dosage strength &#111;&#102; budesonide MMX &#119;&#097;&#115; statistically superior &#116;&#111; placebo &#102;&#111;&#114; the induction &#111;&#102; remission &#111;&#102; mild or moderate active ulcerative colitis,” said Gerald T. Proehl, president &#097;&#110;&#100; chief executive officer &#111;&#102; Santarus. “We &#112;&#108;&#097;&#110; &#116;&#111; submit &#097; &#110;&#101;&#119; Drug Application &#116;&#111; the U.S. Food &#097;&#110;&#100; Drug Administration (FDA) &#105;&#110; the second &#104;&#097;&#108;&#102; &#111;&#102; 2011, &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; completion &#111;&#102; &#097;&#110; extended &#117;&#115;&#101; study.” </p>
<p> &#097;&#115; specified &#105;&#110; the statistical analysis plans that were submitted &#116;&#111; the FDA &#102;&#111;&#114; &#098;&#111;&#116;&#104; Phase III studies, &#097; p-value &#111;&#102; 0.025 &#119;&#097;&#115; required &#116;&#111; achieve statistical significance &#102;&#111;&#114; the comparison &#111;&#102; each budesonide MMX dosage strength (9 mg &#097;&#110;&#100; 6 mg) &#119;&#105;&#116;&#104; placebo. </p>
<p> The intent-to-treat (ITT) population &#119;&#097;&#115; pre-defined &#105;&#110; the statistical analysis &#112;&#108;&#097;&#110; &#097;&#115; &#097;&#108;&#108; randomized patients who received &#097;&#116; least &#111;&#110;&#101; dose &#111;&#102; &#097; study drug, excluding patients &#119;&#105;&#116;&#104; normal histology &#097;&#116; baseline &#097;&#115; determined by biopsy, Good Clinical Practice (GCP) violations or major entry criteria violations. </p>
<p> Based &#111;&#110; the preliminary analysis, the remission rates &#102;&#111;&#114; the four treatment groups &#105;&#110; the ITT population &#097;&#114;&#101; summarized &#105;&#110; the table below (the p-values correspond &#116;&#111; the statistical comparison &#111;&#102; remission rates &#105;&#110; the three active treatment groups &#119;&#105;&#116;&#104; placebo): </p>
<p>      
<p> <b>Treatment Arm</b> </p>
<p>  
<p> <b>Number &#111;&#102; Patients</b> </p>
<p>  
<p> <b>Patients &#105;&#110; Remission (%)</b> </p>
<p>  
<p> <b>p-value</b> </p>
<p> Budesonide MMX 9 mg   109   19 (17.4%)   0.0047* Budesonide MMX 6 mg   109   9 ( 8.3%)   Entocort®EC (budesonide) reference arm(a)   103   13 (12.6%)   Placebo   89   4 ( 4.5%)      
<p> *Statistically significant &#118;&#115; placebo &#097;&#116; p=0.025 </p>
<p> **Statistically significant &#118;&#115; placebo &#097;&#116; p=0.05 </p>
<p> (a)Not powered &#116;&#111; show &#097; statistical &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#099;&#101; &#098;&#101;&#116;&#119;&#101;&#101;&#110; budesonide MMX treatment arms &#097;&#110;&#100; Entocort EC </p>
<p> &#112;&#108;&#101;&#097;&#115;&#101; refer &#116;&#111; Santarus’ Current Report &#111;&#110; Form 8-K filed today &#119;&#105;&#116;&#104; the Securities &#097;&#110;&#100; Exchange Commission &#102;&#111;&#114; additional information &#111;&#110; the European budesonide MMX Phase III clinical study results. </p>
<p> <b>Safety</b> </p>
<p> The top-line study results &#105;&#110;&#100;&#105;&#099;&#097;&#116;&#101; that budesonide MMX 9 mg &#097;&#110;&#100; 6 mg were generally well tolerated &#097;&#110;&#100; the frequency &#111;&#102; treatment related adverse events &#119;&#097;&#115; similar &#097;&#099;&#114;&#111;&#115;&#115; &#097;&#108;&#108; treatment groups. </p>
<p> <b>Budesonide MMX Phase III Study Design</b> </p>
<p> Budesonide MMX &#119;&#097;&#115; evaluated &#102;&#111;&#114; the treatment &#111;&#102; mild or moderate active ulcerative colitis &#105;&#110; two Phase III clinical studies, &#098;&#111;&#116;&#104; &#111;&#102; which &#097;&#114;&#101; intended &#116;&#111; support U.S. regulatory submission. The primary endpoint &#119;&#097;&#115; the achievement &#111;&#102; clinical remission, defined &#097;&#115; &#097; UCDAI score ? 1 &#097;&#102;&#116;&#101;&#114; eight weeks &#111;&#102; treatment &#119;&#105;&#116;&#104; &#097; score &#111;&#102; 0 &#102;&#111;&#114; rectal bleeding &#097;&#110;&#100; stool frequency, &#097;&#110;&#100; ? 1 point reduction &#102;&#114;&#111;&#109; baseline &#105;&#110; the endoscopy score without any sign &#111;&#102; mucosal friability (an indicator &#111;&#102; mucosal inflammation). </p>
<p> Each clinical study &#119;&#097;&#115; &#097; multicenter, randomized, double-blind, double-dummy, placebo-controlled four-arm study. </p>
<ul>
<li> Study CB-01-02/02<b> </b>was conducted &#105;&#110; Europe &#097;&#110;&#100; compared budesonide MMX 9 mg or 6 mg dosed &#111;&#110;&#099;&#101; daily &#116;&#111; placebo. &#097; reference arm using three Entocort EC 3 mg capsules &#102;&#111;&#114; &#097; total &#111;&#102; 9 mg dosed &#111;&#110;&#099;&#101; daily &#119;&#097;&#115; &#097;&#108;&#115;&#111; included. </li>
<li> Study CB-01-02/01 &#119;&#097;&#115; conducted &#105;&#110; the U.S. &#097;&#110;&#100; India &#097;&#110;&#100; compared budesonide MMX 9 mg or 6 mg dosed &#111;&#110;&#099;&#101; daily &#116;&#111; placebo. &#097; reference arm using two Asacol® (mesalamine) 400 mg delayed-release tablets dosed three times &#097; day &#102;&#111;&#114; &#097; total &#111;&#102; 2400 mg daily &#119;&#097;&#115; &#097;&#108;&#115;&#111; included. </li>
</ul>
<p> The Phase III clinical studies were powered &#116;&#111; show &#097; statistical &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#099;&#101; &#098;&#101;&#116;&#119;&#101;&#101;&#110; the two budesonide MMX treatment arms &#097;&#110;&#100; placebo. The reference arms using Entocort EC &#105;&#110; the European study &#097;&#110;&#100; Asacol &#105;&#110; the U.S. study were not powered &#116;&#111; show statistical differences &#118;&#101;&#114;&#115;&#117;&#115; budesonide MMX. </p>
<p> <b>Extended &#117;&#115;&#101; Study Ongoing Through Second Quarter 2011</b> </p>
<p> &#097;&#115; previously reported, the FDA requested that the results &#102;&#114;&#111;&#109; &#097;&#110; additional 12-month extended &#117;&#115;&#101; study &#098;&#101; included &#105;&#110; the Phase III clinical program &#116;&#111; support &#097; U.S. regulatory submission. &#116;&#104;&#105;&#115; study &#105;&#115; designed &#116;&#111;: </p>
<ul>
<li> Evaluate the long-term safety &#097;&#110;&#100; tolerability &#111;&#102; budesonide MMX 6 mg, &#097;&#110;&#100; </li>
<li> Collect data &#111;&#110; the efficacy &#111;&#102; budesonide MMX 6 mg &#105;&#110; the maintenance &#111;&#102; remission &#111;&#102; ulcerative colitis compared &#116;&#111; placebo. </li>
</ul>
<p> &#097; total &#111;&#102; 123 patients &#102;&#114;&#111;&#109; the Phase III clinical studies &#105;&#110; the U.S., India &#097;&#110;&#100; Europe were enrolled &#105;&#110; &#116;&#104;&#105;&#115; double-blind, placebo-controlled extended &#117;&#115;&#101; study, which &#105;&#115; scheduled &#116;&#111; &#098;&#101; completed &#105;&#110; the second quarter &#111;&#102; 2011. </p>
<p> <b>Achievement &#111;&#102; Clinical Milestone</b> </p>
<p> Based &#111;&#110; the results &#111;&#102; the U.S. &#097;&#110;&#100; European Phase III clinical studies, Cosmo &#105;&#115; entitled &#116;&#111; receive &#097; $3.0 million milestone payment, payable &#105;&#110; cash or through issuance &#111;&#102; shares &#111;&#102; Santarus’ common stock, &#097;&#116; Cosmo’s option, subject &#116;&#111; &#099;&#101;&#114;&#116;&#097;&#105;&#110; limitations. </p>
<p> <b>Conference Call</b> </p>
<p> Santarus &#104;&#097;&#115; scheduled &#097;&#110; investor conference &#099;&#097;&#108;&#108; &#097;&#116; 4:30 p.m. Eastern time (1:30 p.m. Pacific time) today, November 8, 2010 &#116;&#111; discuss &#116;&#104;&#105;&#115; announcement &#097;&#110;&#100; the company’s third quarter 2010 financial results. Individuals interested &#105;&#110; participating &#105;&#110; the &#099;&#097;&#108;&#108; &#109;&#097;&#121; do &#115;&#111; by dialing 888-803-8275 &#102;&#111;&#114; domestic callers, or 706-643-7736 &#102;&#111;&#114; international callers. &#097; telephone replay &#119;&#105;&#108;&#108; &#098;&#101; available &#102;&#111;&#114; 48 hours &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; conclusion &#111;&#102; the &#099;&#097;&#108;&#108; by dialing 800-642-1687 &#102;&#111;&#114; domestic callers, or 706-645-9291 &#102;&#111;&#114; international callers, &#097;&#110;&#100; entering reservation code 17860587. The live conference &#099;&#097;&#108;&#108; &#097;&#108;&#115;&#111; &#119;&#105;&#108;&#108; &#098;&#101; available via the Internet by visiting the Investor Relations section &#111;&#102; the company’s website &#097;&#116; santarus.com &#097;&#110;&#100; &#097; recording &#111;&#102; the &#099;&#097;&#108;&#108; &#119;&#105;&#108;&#108; &#098;&#101; available &#111;&#110; the company’s website &#102;&#111;&#114; 14 days &#102;&#111;&#108;&#108;&#111;&#119;&#105;&#110;&#103; the completion &#111;&#102; the &#099;&#097;&#108;&#108;. </p>
<p> <b>About Budesonide MMX</b> </p>
<p> Budesonide MMX &#105;&#115; &#097;&#110; investigational drug that &#105;&#115; &#097; locally acting corticosteroid &#105;&#110; &#097; novel, patented, oral tablet formulation, which utilizes Cosmo’s proprietary MMX® multi-matrix system technology &#097;&#110;&#100; &#105;&#115; designed &#116;&#111; result &#105;&#110; the controlled release &#097;&#110;&#100; distribution &#111;&#102; budesonide &#116;&#104;&#114;&#111;&#117;&#103;&#104;&#111;&#117;&#116; the length &#111;&#102; the colon. Budesonide &#104;&#097;&#115; topical anti-inflammatory activity &#097;&#110;&#100; due &#116;&#111; &#097;&#110; extended first pass effect, &#104;&#097;&#115; &#108;&#101;&#115;&#115; systemic absorption &#116;&#104;&#097;&#110; other corticosteroids. </p>
<p> <b>About Ulcerative Colitis</b> </p>
<p> Ulcerative colitis &#105;&#115; &#097; form &#111;&#102; inflammatory bowel disease (IBD) that produces inflammation &#097;&#110;&#100; ulcers &#097;&#108;&#111;&#110;&#103; the &#105;&#110;&#115;&#105;&#100;&#101; &#111;&#102; the colon. The inflammation can interfere &#119;&#105;&#116;&#104; the normal function &#111;&#102; the colon, often causing cramping, bloating, diarrhea, bleeding, fatigue, weight loss &#097;&#110;&#100; frequent bowel movements, which &#109;&#097;&#121; &#097;&#108;&#115;&#111; strongly affect quality &#111;&#102; life. &#105;&#116; &#105;&#115; believed that &#097;&#115; &#109;&#097;&#110;&#121; &#097;&#115; 1.2 million people &#105;&#110; the U.S. have IBD. </p>
<p> Ulcerative colitis &#105;&#115; &#097; chronic relapsing-remitting illness &#102;&#111;&#114; which there &#105;&#115; no known cure, but &#119;&#105;&#116;&#104; &#097;&#112;&#112;&#114;&#111;&#112;&#114;&#105;&#097;&#116;&#101; treatment patients can manage &#116;&#104;&#101;&#105;&#114; symptoms. However, &#105;&#116; &#105;&#115; estimated that &#117;&#112; &#116;&#111; 30% &#111;&#102; patients &#119;&#105;&#116;&#104; mild or moderate ulcerative colitis require add-on therapy &#116;&#111; aminosalicylate (5-ASA) drugs<i>.</i> Patients refractive &#116;&#111; treatment &#119;&#105;&#116;&#104; 5-ASA drugs typically receive &#097; course &#111;&#102; &#097;&#110; oral, systemically absorbed corticosteroid, the success &#111;&#102; which &#109;&#097;&#121; &#098;&#101; limited by significant side effects. &#102;&#111;&#114; moderate &#116;&#111; severe cases &#111;&#102; ulcerative colitis, immunosuppressant drugs or biologic drugs &#109;&#097;&#121; &#098;&#101; prescribed. &#105;&#102; the condition &#100;&#111;&#101;&#115; not respond &#116;&#111; pharmaceutical therapy &#097;&#110;&#100; the symptoms &#097;&#114;&#101; severe, the patient &#109;&#097;&#121; &#098;&#101; referred &#102;&#111;&#114; surgery. </p>
<p> <b>About Santarus</b> </p>
<p> Santarus, Inc. &#105;&#115; &#097; specialty biopharmaceutical company focused &#111;&#110; acquiring, developing &#097;&#110;&#100; commercializing proprietary products that address the needs &#111;&#102; patients treated by physician specialists. The company’s current commercial efforts &#097;&#114;&#101; focused &#111;&#110; GLUMETZA® (metformin hydrochloride extended release tablets) &#097;&#110;&#100; CYCLOSET® (bromocriptine mesylate) tablets, which &#097;&#114;&#101; &#105;&#110;&#100;&#105;&#099;&#097;&#116;&#101;&#100; &#097;&#115; adjuncts &#116;&#111; diet &#097;&#110;&#100; exercise &#116;&#111; improve glycemic control &#105;&#110; adults &#119;&#105;&#116;&#104; type 2 diabetes. The company expects &#116;&#111; commercially launch CYCLOSET &#105;&#110; November 2010. </p>
<p> Santarus &#097;&#108;&#115;&#111; &#104;&#097;&#115; &#097; diverse development pipeline &#119;&#105;&#116;&#104; three late-stage product candidates &#105;&#110; Phase III clinical programs: budesonide MMX® &#102;&#111;&#114; induction &#111;&#102; remission &#111;&#102; active ulcerative colitis, rifamycin SV MMX® &#102;&#111;&#114; treatment &#111;&#102; travelers’ diarrhea &#097;&#110;&#100; RHUCIN® (recombinant human C1 inhibitor) &#102;&#111;&#114; treatment &#111;&#102; acute attacks &#111;&#102; hereditary angioedema. &#105;&#110; addition, Santarus plans &#116;&#111; initiate &#097; Phase I clinical study &#105;&#110; the first &#104;&#097;&#108;&#102; &#111;&#102; 2011 &#119;&#105;&#116;&#104; SAN-300, &#105;&#116;&#115; anti-VLA-1 antibody, which the company expects &#116;&#111; investigate &#102;&#111;&#114; the treatment &#111;&#102; rheumatoid arthritis. More information &#097;&#098;&#111;&#117;&#116; Santarus &#105;&#115; available &#111;&#110; the company’s website &#097;&#116; santarus.com. </p>
<p> <i>Santarus cautions you that statements included &#105;&#110; &#116;&#104;&#105;&#115; press release that &#097;&#114;&#101; not &#097; description &#111;&#102; historical facts &#097;&#114;&#101; forward-looking statements. &#116;&#104;&#101;&#115;&#101; forward-looking statements include statements &#114;&#101;&#103;&#097;&#114;&#100;&#105;&#110;&#103; the timing &#111;&#102; the completion &#111;&#102; the extended &#117;&#115;&#101; study &#097;&#110;&#100; the U.S. NDA submission &#102;&#111;&#114; budesonide MMX.</i> <i>The inclusion &#111;&#102; forward-looking statements should not &#098;&#101; regarded &#097;&#115; &#097; representation by Santarus that any &#111;&#102; &#105;&#116;&#115; plans or objectives &#119;&#105;&#108;&#108; &#098;&#101; achieved. Actual results &#109;&#097;&#121; differ materially &#102;&#114;&#111;&#109; &#116;&#104;&#111;&#115;&#101; set &#102;&#111;&#114;&#116;&#104; &#105;&#110; &#116;&#104;&#105;&#115; release due &#116;&#111; the risks &#097;&#110;&#100; uncertainties inherent &#105;&#110; Santarus’ business, including, without limitation:</i> <i>Santarus’ ability &#116;&#111; successfully develop &#105;&#116;&#115; budesonide MMX &#097;&#110;&#100; other product candidates &#105;&#110; &#097; timely manner or &#097;&#116; &#097;&#108;&#108; (including timely &#097;&#110;&#100; successful completion &#111;&#102; the budesonide MMX extended &#117;&#115;&#101; study); whether Santarus &#105;&#115; able &#116;&#111; obtain regulatory approval &#102;&#111;&#114; budesonide MMX &#097;&#110;&#100; &#105;&#116;&#115; other product candidates &#105;&#110; &#097; timely manner or &#097;&#116; &#097;&#108;&#108;, including whether the FDA agrees &#119;&#105;&#116;&#104; the statistical analysis &#112;&#108;&#097;&#110; &#102;&#111;&#114; the budesonide MMX Phase III studies, the clinical interpretation &#111;&#102; the results &#097;&#110;&#100; the conduct &#111;&#102; the studies; risks associated &#119;&#105;&#116;&#104; the collaboration &#119;&#105;&#116;&#104; Cosmo relating &#116;&#111; the MMX product candidates, including the potential &#102;&#111;&#114; termination &#111;&#102; the collaboration; competition &#102;&#114;&#111;&#109; other products; unexpected adverse side effects or inadequate therapeutic efficacy &#111;&#102; Santarus’ products &#097;&#110;&#100; product candidates; the scope &#097;&#110;&#100; validity &#111;&#102; patent protection &#102;&#111;&#114; Santarus’ products &#097;&#110;&#100; product candidates; &#097;&#110;&#100; other difficulties or delays relating &#116;&#111; the development, testing, manufacturing &#097;&#110;&#100; marketing &#111;&#102;, &#097;&#110;&#100; obtaining &#097;&#110;&#100; maintaining regulatory approvals &#102;&#111;&#114;, Santarus’ products &#097;&#110;&#100; product candidates; &#097;&#110;&#100; other risks detailed &#105;&#110; Santarus’ prior press releases &#097;&#115; well &#097;&#115; &#105;&#110; prior public periodic filings &#119;&#105;&#116;&#104; the Securities &#097;&#110;&#100; Exchange Commission.</i> </p>
<p> <i>You &#097;&#114;&#101; cautioned not &#116;&#111; &#112;&#108;&#097;&#099;&#101; undue reliance &#111;&#110; &#116;&#104;&#101;&#115;&#101; forward-looking statements, which speak only &#097;&#115; &#111;&#102; the date hereof.</i> <i>All forward-looking statements &#097;&#114;&#101; qualified &#105;&#110; &#116;&#104;&#101;&#105;&#114; entirety by &#116;&#104;&#105;&#115; cautionary statement &#097;&#110;&#100; Santarus undertakes no obligation &#116;&#111; revise or update &#116;&#104;&#105;&#115; news release &#116;&#111; reflect events or circumstances &#097;&#102;&#116;&#101;&#114; the date hereof.</i> <i>This caution &#105;&#115; &#109;&#097;&#100;&#101; under the safe harbor provisions &#111;&#102; Section 21E &#111;&#102; the Private Securities Litigation Reform Act &#111;&#102; 1995.</i> </p>
<p> <i>Santarus</i><i>®</i><i> &#105;&#115; &#097; registered trademark &#111;&#102; Santarus, Inc.</i> <i>MMX</i><i>®</i><i> &#105;&#115; &#097; registered trademark &#111;&#102; Cosmo Technologies Limited. GLUMETZA</i><i>® </i><i>is &#097; registered trademark &#111;&#102; Biovail Laboratories International S.r.l. licensed exclusively &#105;&#110; the United States &#116;&#111; Depomed, Inc.</i> <i>CYCLOSET</i><i>® </i><i>is &#097; registered trademark &#111;&#102; VeroScience LLC.</i> <i>RHUCIN</i><i>®</i><i> &#105;&#115; &#097; registered trademark &#111;&#102; Pharming Group NV.</i> <i>Any other trademarks &#105;&#110; &#116;&#104;&#105;&#115; press release &#097;&#114;&#101; the property &#111;&#102; &#116;&#104;&#101;&#105;&#114; respective owners.</i> </p></p>
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		<title>Shire&#8217;s Vyvanse demonstrates efficacy in new trial</title>
		<link>http://symptomadvice.com/shires-vyvanse-demonstrates-efficacy-in-new-trial/</link>
		<comments>http://symptomadvice.com/shires-vyvanse-demonstrates-efficacy-in-new-trial/#comments</comments>
		<pubDate>Sun, 22 Aug 2010 22:03:13 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[adhd symptoms]]></category>
		<category><![CDATA[brain functions]]></category>
		<category><![CDATA[deficit hyperactivity disorder]]></category>
		<category><![CDATA[hyperactivity]]></category>
		<category><![CDATA[pharmaceutical company]]></category>
		<category><![CDATA[phase iii]]></category>

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		<description><![CDATA[Posted &#111;&#110; 09/08/2010 &#105;&#110; Pharmaceutical Company Product News Shire &#104;&#097;&#115; published data &#102;&#114;&#111;&#109; &#097; phase IIIb study &#111;&#102; &#105;&#116;&#115; attention deficit hyperactivity disorder (ADHD) drug Vyvanse, demonstrating &#105;&#116;&#115; efficacy &#097;&#109;&#111;&#110;&#103; adult patients.Results published &#105;&#110; &#116;&#104;&#101; medical journal Behavioral and Brain Functions &#115;&#104;&#111;&#119;&#101;&#100; that patients using &#116;&#104;&#101; once-daily Vyvanse Capsule CII treatment benefited &#102;&#114;&#111;&#109; improved attention [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/08/1282514593-75.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p><strong>Posted &#111;&#110; 09/08/2010 &#105;&#110; Pharmaceutical Company Product News </strong></p>
<p>Shire &#104;&#097;&#115; published data &#102;&#114;&#111;&#109; &#097; phase IIIb study &#111;&#102; &#105;&#116;&#115; attention deficit hyperactivity disorder (ADHD) drug Vyvanse, demonstrating &#105;&#116;&#115; efficacy &#097;&#109;&#111;&#110;&#103; adult patients.Results published &#105;&#110; &#116;&#104;&#101; medical journal Behavioral and Brain Functions &#115;&#104;&#111;&#119;&#101;&#100; that patients using &#116;&#104;&#101; once-daily Vyvanse Capsule CII treatment benefited &#102;&#114;&#111;&#109; improved attention spans &#098;&#101;&#116;&#119;&#101;&#101;&#110; &#116;&#119;&#111; and 14 hours after administering.&#105;&#116; &#104;&#097;&#115; previously &#098;&#101;&#101;&#110; proven &#116;&#111; offer similar benefits &#097;&#109;&#111;&#110;&#103; children aged &#098;&#101;&#116;&#119;&#101;&#101;&#110; &#115;&#105;&#120; and 12 &#105;&#110; previous clinical studies.Dr Matthew Brams, study author and clinical assistant professor &#111;&#102; psychiatry at Baylor College &#111;&#102; Medicine, &#115;&#097;&#105;&#100; &#116;&#104;&#105;&#115; illustrates &#116;&#104;&#101; drug&#8217;s benefits for ADHD sufferers wishing &#116;&#111; manage their symptoms &#100;&#117;&#114;&#105;&#110;&#103; &#097; working day.He added: &#8220;Because ADHD symptoms may extend &#105;&#110;&#116;&#111; &#116;&#104;&#101; evening for &#109;&#097;&#110;&#121; adults, &#116;&#104;&#101; availability &#111;&#102; treatments that provide symptom improvement throughout &#116;&#104;&#101; day &#105;&#115; important.&#8221;Earlier &#116;&#104;&#105;&#115; month, &#116;&#104;&#101; company published phase III trial data for &#116;&#104;&#101; hereditary angioedema Firazyr, illustrating &#105;&#116;&#115; efficacy when compared &#116;&#111; placebo.
<p><strong>Other news &#115;&#116;&#111;&#114;&#105;&#101;&#115; &#102;&#114;&#111;&#109; 09/08/2010</strong></p>
<p><strong>Read more &#105;&#110; &#116;&#104;&#101; Zenopa News Archive</strong></p>
<p><strong>How &#116;&#104;&#105;&#115; news &#105;&#115; generated</strong></p></p>
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