DOR BioPharma Reports Positive New Survival Findings from Previously Completed Phase II and III Clinical Trials of orBec(R); Res
20 1월 2006 - 10:10PM
Business Wire
DOR BioPharma, Inc. (AMEX:DOR) ("DOR", or the "Company") announced
today that as part of its process to submit a New Drug Application
("NDA") for orBec(R) (oral beclomethasone dipropionate) for the
treatment of patients with gastrointestinal Graft-versus-Host
disease (iGVHD) and in response to a specific FDA request, it has
completed an analysis to compare the statistically significant
survival benefit demonstrated in favor of orBec(R) in its pivotal
Phase III clinical trial to the survival results of the earlier
successful 60 patient, randomized, double-blinded,
placebo-controlled, Phase II clinical trial of oral beclomethasone
dipropionate for iGVHD. Details of these new findings will be
discussed by George B. McDonald, MD, inventor of orBec(R), at the
annual Tandem Bone Marrow Transplant Meeting of the American
Society for Blood and Marrow Transplantation and the International
Bone Marrow Transplant Registry in Honolulu on February 18, 2006 in
a presentation entitled "Oral beclomethasone dipropionate for
gastrointestinal GVHD: a corticosteroid-sparing treatment with
improved survival at day-200." The randomized, double-blinded,
placebo-controlled Phase II clinical trial of oral beclomethasone
dipropionate in 60 patients with iGVHD was conducted and completed
at the Fred Hutchinson Cancer Research Center in Seattle. The new
follow-up data and analysis from the earlier Phase II trial
suggests that the day-200 post transplant survival results from the
Phase II study are in concordance with the approximate 70%
reduction in mortality at day-200 post-transplant demonstrated in
favor of orBec(R) in DOR's 129 patient, pivotal, multi-center,
placebo-controlled Phase III clinical trial of orBec(R) for the
treatment of iGVHD. In addition, the long term follow-up data from
the Phase II clinical trial are also in concordance with the
long-term survival benefit seen in favor of orBec(R) in the pivotal
Phase III clinical trial. As previously reported, in DOR's pivotal
Phase III study, there were 16 (24%) deaths in the placebo arm as
compared to only 5 (8%) deaths in the orBec(R) arm at the
prospectively defined day-200 post transplant mortality endpoint,
achieving a statistically significant p-value of 0.011. Survival at
day-200 was not, however, a prospectively defined endpoint in the
Phase II trial and until recently so requested by the FDA, had not
been previously analyzed. The Phase II clinical trial was similar
in design to the pivotal Phase III trial which was completed in
late 2004. In the Phase II study, 60 patients with iGVHD were
randomized to receive an induction course of conventional
prednisone therapy plus either oral beclomethasone dipropionate or
placebo. Initial responders continued to take oral beclomethasone
or placebo for an additional 20 days, during which time the
prednisone therapy was rapidly tapered. The primary endpoint for
this study was the clinically relevant determination of whether
iGVHD patients at Day 30 were or were not able to consume at least
70% of their daily caloric intake by mouth. The treatment response
at study day 30 was 22 of 31 (71%) vs. 12 of 29 (41%) in the oral
beclomethasone and placebo groups respectively, achieving a
statistically significant p-value of 0.02. This data was previously
published by Dr. McDonald in the journal Gastroenterology (1998).
DOR is also announcing today that in a recently completed analysis
of the day-200 survival endpoint data from the pivotal Phase III
clinical trial, it found that there were no previously undetected
imbalances between the treatment and placebo groups that could have
favored the orBec(R) group over the placebo group. In fact, there
was a higher proportion of high risk patients in the orBec(R) group
which would be expected to put the orBec(R) arm at a disadvantage.
In spite of this, orBec(R) was still the factor with the strongest
statistical association with survival. "These new findings give
credence to our belief that orBec(R) has a positive effect on
survival in this patient population," said Michael T. Sember,
President and Chief Executive Officer of DOR. "Since we missed our
primary endpoint in the pivotal trial, the FDA has told us that a
very high emphasis would be placed on our survival data. While the
new preliminary Phase II survival results were not a prospectively
defined endpoint, they are nonetheless supportive and corroborate
the results from our pivotal Phase III clinical trial." George B.
McDonald, MD, Head of the Gastroenterology/Hepatology Section at
the Fred Hutchinson Cancer Research Center, inventor of orBec(R)
and a consultant to DOR stated, "We believe that orBec(R), a
proprietary oral form of the potent site-active corticosteroid,
beclomethasone dipropionate, may represent the first new therapy
for iGVHD that improves survival. iGVHD is the most significant and
life threatening toxicity associated with allogeneic hematopoietic
cell transplants. orBec(R)'s topical activity in the
gastrointestinal tract maintains control of the signs and symptoms
of gastrointestinal GVHD, allowing prednisone exposure to be
greatly reduced, resulting in fewer infections and better
survival." About DOR BioPharma, Inc. DOR BioPharma, Inc. is a
biopharmaceutical company addressing life-threatening side effects
of cancer and cancer treatments, serious gastrointestinal diseases
and disorders, and biomedical countermeasures. Our lead product,
orBec(R) (oral beclomethasone dipropionate), is a potent,
locally-acting corticosteroid being developed for the treatment of
intestinal Graft-versus-Host disease (iGVHD), a common serious
complication of bone marrow transplantation for cancer, as well as
other GI disorders characterized by severe inflammation. We plan to
file a new drug application (NDA) with the FDA for orBec(R) for the
treatment of iGVHD in the first quarter of 2006. In November we
announced that we entered into a binding letter of intent to
acquire Gastrotech Pharma A/S, a Danish biotech company developing
therapeutics based on peptide hormones to treat cancer and
gastrointestinal diseases and conditions. Through our BioDefense
Division, we are developing biomedical countermeasures pursuant to
the paradigm established by the recently enacted Project BioShield
Act of 2004. Our biodefense products in development are
bioengineered vaccines designed to protect against the deadly
effects of ricin toxin and botulinum toxin, both of which are
considered serious bioterrorism threats. Our ricin toxin vaccine,
RiVax(TM), has completed the clinical portion of its Phase I
clinical trial in normal volunteers. We have also announced the
initiation of a new botulinum toxin therapeutic development program
based on rational drug design. For further information regarding
DOR BioPharma, please visit the Company's website located at
http://www.dorbiopharma.com. This press release contains
forward-looking statements, within the meaning of Section 21E of
the Securities Exchange Act of 1934, that reflect DOR BioPharma's
current expectations about its future results, performance,
prospects and opportunities, including statements regarding the
potential use of orBec(R) for the treatment of iGVHD and the
prospects for regulatory filings for orBec(R). Where possible, DOR
BioPharma has tried to identify these forward-looking statements by
using words such as "anticipates", "believes", "intends", or
similar expressions. These statements are subject to a number of
risks, uncertainties and other factors that could cause actual
events or results in future periods to differ materially from what
is expressed in, or implied by, these statements. DOR BioPharma
cannot assure you that it will be able to successfully develop or
commercialize products based on its technology, including orBec(R),
particularly in light of the significant uncertainty inherent in
developing vaccines against bioterror threats, manufacturing and
conducting preclinical and clinical trials of vaccines, and
obtaining regulatory approvals, that its technologies will prove to
be safe and effective, that its cash expenditures will not exceed
projected levels, that it will be able to obtain future financing
or funds when needed, that product development and
commercialization efforts will not be reduced or discontinued due
to difficulties or delays in clinical trials or due to lack of
progress or positive results from research and development efforts,
that it will be able to successfully obtain any further grants and
awards, maintain its existing grants which are subject to
performance, enter into any biodefense procurement contracts with
the U.S. Government or other countries, that it will be able to
patent, register or protect its technology from challenge and
products from competition or maintain or expand its license
agreements with its current licensors, that it will be able to
maintain its listing on the American Stock Exchange ("AMEX") by
completing a transaction which will provide it with shareholders'
equity of at least $6 million, or that its business strategy will
be successful. Important factors which may affect the future use of
orBec(R) for iGVHD include the risks that: because orBec(R) did not
achieve statistical significance in its primary endpoint in the
pivotal Phase III clinical study (i.e. a p-value of less than or
equal to 0.05), the FDA may not consider orBec(R) approvable based
upon existing studies, orBec(R) may not show therapeutic effect or
an acceptable safety profile in future clinical trials, if
required, or could take a significantly longer time to gain
regulatory approval than DOR BioPharma expects or may never gain
approval; DOR BioPharma is dependent on the expertise, effort,
priorities and contractual obligations of third parties in the
clinical trials, manufacturing, marketing, sales and distribution
of its products; or orBec(R) may not gain market acceptance; and
others may develop technologies or products superior to orBec(R).
DOR BioPharma's business strategy has been revised to include the
issuance of its securities to acquire companies or assets. DOR
BioPharma presently is involved in negotiations which could result
in the issuance of a significant number of shares of its equity
securities, thereby diluting the equity interests of present
stockholders. These and other factors are described from time to
time in filings with the Securities and Exchange Commission,
including, but not limited to, DOR BioPharma's most recent reports
on Form 10-QSB and Form 10-KSB. DOR BioPharma assumes no obligation
to update or revise any forward-looking statements as a result of
new information, future events, and changes in circumstances or for
any other reason.
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