Genelabs Announces Positive Results of Pivotal Trial of Gl701 for Lupus / Company Intends to Submit New Drug Application to FDA
21.09.1999, 13:34
REDWOOD CITY, Calif. (PROTEXT) - Genelabs Technologies, Inc.
(Nasdaq: GNLB) today announced positive results of its second
Phase III clinical trial of GL701, its investigational drug for
systemic lupus erythematosus (SLE). Based on the strength of
preliminary data from this study and the results of the first
Phase III clinical trial, the company intends to submit a New
Drug Application (NDA). Genelabs has requested a pre-NDA meeting
with the Food and Drug Administration (FDA) and intends to begin
the submission process as soon as possible following that
meeting.
"Because of the current lack of effective therapies for
patients with SLE, we are delighted with these positive results,"
stated James A.D. Smith, Genelabs President. "The favorable
outcome of this study is truly a milestone for both Genelabs and
people with SLE as we work toward commercialization of the first
new treatment for lupus in many decades."
Marc Gurwith, M.D., Genelabs Vice President of Drug
Development and Chief Medical Officer commented, "I wish to thank
all of the patients, physicians and their medical teams who
participated in this groundbreaking clinical trial. We look
forward to submitting the results of this study to the FDA and
presenting the data in an appropriate scientific forum."
Study Design
The study enrolled 381 women with SLE randomized to receive
either an oral dose of 200 mg of GL701 or placebo once a day for
12 months. The study was designed to determine whether GL701 can
improve or stabilize clinical outcome and disease symptoms in
people with SLE. Efficacy was measured by the response of the
patients to the treatment (disease activity was stable or
improved) utilizing measurement tools including Systemic Lupus
Erythematosus Disease Activity Index (SLEDAI), Systemic Lupus
Activity Measure (SLAM), Krupp Fatigue Severity Score (KFSS), and
Patient Global Assessment.
Systemic Lupus Erythematosus (SLE)
SLE is a life-long, devastating autoimmune disease that
primarily affects women, many of whom experience the initial
onset of disease in their late teens and early twenties. There
are approximately 200,000 people with SLE in the United States
and more than one million worldwide, according to various
government and private sector statistics. SLE causes the immune
system to attack the body's own tissue, which can lead to
inflammation, pain and injury to tissues and major organs. People
with SLE can develop different combinations of symptoms and organ
involvement. Common signs and symptoms include severe fatigue,
arthritis, facial rash and unusual sensitivity to sunlight as
well as inflammation of the lungs and heart. More serious, life-
threatening organ damage, which involves inflammation of the
brain tissue and kidney failure, can lead to poor quality of life
and ultimately death. There is no cure for SLE. The multi-faceted
manifestations and unknown etiology of the disease have made SLE
difficult to study and to treat. No drug has been approved for
the treatment of SLE in the US in the past 40 years. Current
treatment is primarily limited to inflammation suppression, most
commonly through chronic use of steroids such as prednisone.
Long-term use of steroids has many serious adverse consequences
including premature osteoporosis, atherosclerosis and diabetes.
GL701
Genelabs' therapeutic approach with GL701, through an
exclusive license from Stanford University, is to increase levels
of dehydroepiandrosterone (DHEA) in patients with SLE. GL701 is a
pharmaceutical preparation that contains prasterone, the
pharmaceutical generic designation for DHEA, as the active
ingredient. DHEA is a naturally occurring hormone that is
produced by the adrenal glands. People with SLE generally have
abnormally low levels of DHEA and studies have shown that
hormonal influences may play a role in the development and
progression of SLE.
Genelabs completed its first Phase III trial with GL701 in
1997. In the first study, steroid-dependent SLE patients had a
higher rate of response to treatment with GL701 than patients on
placebo, demonstrated by sustained reduction of their prednisone
dose to physiologic levels. Data from this study were presented
at the American College of Rheumatology National Scientific
Meeting in November 1997 and showed that, compared to the placebo
group, a greater percentage of patients who received daily doses
of 200 mg of GL701 achieved the primary endpoint of a sustained
reduction of their steroid dose to 7.5 mg per day or less while
improving or maintaining stable disease activity. This beneficial
effect was most evident in the group of SLE patients with active
disease (SLEDAI >2) at baseline. The ability to reduce steroid
use among people with SLE has been a major goal in lupus clinical
research because long-term use of steroids is responsible for
many serious and life-threatening toxicities.
Earlier this year the FDA granted Fast Track designation to
GL701 for SLE, which means that the FDA has determined that GL701
is intended to treat a serious or life-threatening condition for
which there is no adequate therapy currently available. This
designation also means that the FDA can take actions to expedite
the review of the NDA including assigning priority review status.
In 1994, GL701 received Orphan Drug designation from the FDA for
the treatment of SLE. Orphan Drug designation provides seven
years of marketing exclusivity from the date of a drug's
approval.
Genelabs intends to retain the right to market GL701 in the
United States and is seeking partners for development and
marketing of GL701 outside of the U.S. The company is the
exclusive licensee of two issued U.S. patents from Stanford
University which cover the use of GL701 in lupus patients to
reduce concomitant steroid dosage and for the treatment of lupus
with or without additional drug therapies.
Genelabs Technologies, Inc. is a biopharmaceutical company
engaged in the discovery of small molecule drugs that bind to DNA
or RNA to regulate gene expression or inactivate pathogens. The
company's drug discovery program is based on an integrated
platform of technologies that encompasses genomics, transcription
biology, structure-biased combinatorial chemistry, high-
throughput screening and several proprietary validation and
characterization assays. The company's development efforts are
focused on its drug candidate, GL701, which has completed two
Phase III clinical trials as a new therapy for systemic lupus
erythematosus.
NOTE
Except for historical information, the statements in this news
release are forward-looking and are subject to uncertainties and
risks that could cause actual results to differ materially from
the statements made. Uncertainties and risks include, without
limitation, the adequacy of the company's GL701 clinical trial
processes and whether the results of those clinical trials and
other supporting information will be sufficient to support
regulatory submissions and/or approvals; delays regarding the
regulatory approval process including the timing and scope of
approval received, if any; uncertainties and risks regarding
market acceptance of GL701 as a treatment for SLE; the company's
limited manufacturing and marketing experience; the validity,
scope and enforceability of patents related to GL701; the
company's capital requirements and history of operating losses;
and uncertainties and risks regarding the company's ability to
raise needed additional capital or consummate strategic or
corporate partner transactions on favorable terms or at all. The
company has not submitted applications for regulatory review in
the US or other countries, and the regulatory authorities have
not yet made a determination as to the safety or efficacy of
GL701 for SLE. Please see the information appearing in the
company's filings with the Securities and Exchange Commission, in
particular information under the caption "Risk Factors" in the
company's 1998 Form 10-K, for more discussion regarding these
uncertainties and risks and those associated with the company's
research programs, early stage of development and other risks
which may affect the company. The company does not undertake any
obligation to update these forward-looking statements to reflect
events or circumstances after the date of this release.
Genelabs' press releases are available by fax 24 hours a day
at no charge by calling PR Newswire's Company News On-Call at
800-758-5804, extension 115419. They are also posted on the
Internet at http://www.genelabs.com and http://www.prnewswire.com
.
CONTACT: investors, Debra Catz Bannister of Genelabs
Technologies, Inc., 650-562-1424; or media, Kathy Lauri of Porter
Novelli, 212-601-8121, for Genelabs Technologies, Inc. ots
Original Text Service: Genelabs Technologies, Inc. Internet:
http://www.newsaktuell.de Contact: investors, Debra Catz
Bannister of Genelabs Technologies, Inc., 650-562-1424; or media,
Kathy Lauri of Porter Novelli, 212-601-8121, for Genelabs
Technologies, Inc. Web site: http://www.genelabs.com
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