16.05.2008 13:30:00
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Significant Data on ERBITUX(R) (cetuximab) and ImClone Pipeline to Be Presented at American Society of Clinical Oncology 2008 Annual Meeting
ImClone Systems Incorporated (NASDAQ: IMCL), a global leader in the
development and commercialization of novel antibodies to treat cancer,
today announced that significant scientific data on ERBITUX®
(cetuximab) will be presented at the American Society of Clinical
Oncology (ASCO) 2008 Annual Meeting taking place May 30 through June 3,
2008 in Chicago. In total, ImClone and its partners Bristol-Myers Squibb
Company and Merck KGaA plan to present over 80 oral presentations,
poster discussions and abstracts featuring new clinical data on ERBITUX.
Additionally, new clinical development data on novel antibodies in
ImClone’s proprietary pipeline will be
highlighted at the ASCO meeting.
Notably, two studies on ERBITUX will be featured in ASCO plenary
sessions and an ASCO press briefing on Sunday, June 1. The first study,
FLEX, investigated the potential of ERBITUX in a broadly selected
population of first-line non-small cell lung cancer (NSCLC) patients in
combination with a platinum-based chemotherapy doublet. The second
plenary session presentation will feature an assessment of the link
between K-Ras gene status of the patient’s
tumor and the treatment effect with ERBITUX in patients with metastatic
colorectal cancer (mCRC). Both trials were planned and conducted by
Merck KGaA, Darmstadt, Germany.
In addition to these two plenary session presentations, multiple oral
presentations, poster discussions and abstracts will highlight ERBITUX
data in multiple therapeutic settings. These include:
Non-Small Cell Lung Cancer
A phase II study of cetuximab (C225) in combination with
chemoradiation (CRT) in patients (PTS) with stage III A/B NSCLC: A
report of the 2-year and median survival (MS) for the RTOG 0324 trial.
G.R. Blumenschein (#7516)
A phase II study of pemetrexed, carboplatin and thoracic radiation
with or without cetuximab in patients with locally advanced
unresectable non-small cell lung cancer: CALGB 30407 - - Early
evaluation of feasibility and toxicity. R. Govindan (#7518)
K-Ras Biomarker Analyses in Metastatic
Colorectal Cancer
KRAS status and efficacy of first-line treatment of patients with
metastatic colorectal cancer (mCRC) with FOLFOX with or without
cetuximab: The OPUS experience. C. Bokemeyer (#4000)
Relationship of efficacy with KRAS status (wild type versus mutant) in
patients with irinotecan-refractory metastatic colorectal cancer
(mCRC), treated with irinotecan (q2w) and escalating doses of
cetuximab (q1w): The EVEREST experience (preliminary data). S. Tejpar
(#4001)
Randomized phase III study of capecitabine, oxaliplatin and
bevacizumab with or without cetuximab in advanced colorectal cancer
(ACC), the CAIRO2 study of the Dutch Colorectal Cancer Group (DCCG)
C.J. Punt (LBA4011).
Evaluation of tumor gene expression and K-Ras mutations in FFPE tumor
tissue as predictors of response to cetuximab in metastatic colorectal
cancer. J.B. Baker (#3512)
Role of KRAS mutation in predicting response, progression-free
survival, and overall survival in irinotecan-refractory patients
treated with cetuximab plus irinotecan for a metastatic colorectal
cancer: Analysis of 281 individual data from published series. F. Di
Fiore (#4035)
Head and Neck Cancer
Preliminary analysis of ECOG 3303: concurrent radiation (RT),
cisplatin (DDP) and cetuximab (C) in unresectable, locally advanced
(LA) squamous cell carcinoma of the head and neck (SCCHN). C.J. Langer
(#6006)
Concomitant hyperfractionated accelerated radiotherapy (HART) with
cisplatin and concurrent cetuximab for locoregionally advanced
squamous cell head and neck cancer: a phase I dose escalation trial.
T. Kuhnt (#6029)
Cetuximab added to docetaxel, cisplatin, 5-fluorouracil induction
chemotherapy (C-TPF) in patients with newly diagnosed locally advanced
head and neck cancer: A phase I study. R.B. Tishler (#6001)
Phase II trial of neoadjuvant docetaxel (T), cisplatin (P), and
cetuximab (E) followed by concurrent radiation (X), P, and E in
locally advanced head and neck cancer (HNC). A.E. Argiris (#6002)
The new data on novel antibodies in ImClone’s
proprietary pipeline presented at the ASCO meeting includes a study of
IMC-11F8:
A phase II multicenter study evaluating the efficacy and safety of
IMC-11F8, a recombinant human IgG1 anti-epidermal growth factor
receptor (EGFR) monoclonal antibody (Mab), combined with 5-FU/FA and
oxaliplatin (mFOLFOX-6) as first-line therapy. J. Tabernero (#4066)
IMC-11F8 is a fully human IgG1 monoclonal antibody that blocks the
ligand binding site of EGFR. The EGFR signaling network is involved in
triggering and regulating the malignant growth of many EGFR-expressing
epithelial tumors. Inhibition of the EGFR pathway in cells can result in
disruption of cell cycle progression, mitosis, and potentiation of
apoptosis. Decreased production of angiogenesis factors may occur as a
result of EGFR inhibition.
About ERBITUX®
ERBITUX is a monoclonal antibody (IgG1 Mab) designed to inhibit the
function of a molecular structure expressed on the surface of normal and
tumor cells called the epidermal growth factor receptor (EGFR, HER1,
c-ErbB-1). In vitro assays and in vivo animal studies have shown that
binding of ERBITUX to the EGFR blocks phosphorylation and activation of
receptor-associated kinases, resulting in inhibition of cell growth,
induction of apoptosis, and decreased matrix metalloproteinase and
vascular endothelial growth factor production. In vitro, ERBITUX can
mediate antibody-dependent cellular cytotoxicity (ADCC) against certain
human tumor types. No anti-tumor effects of ERBITUX were observed in
human tumor xenografts lacking EGFR expression. EGFR is part of a
signaling pathway that is linked to the growth and development of many
human cancers, including those of the head and neck, colon and rectum.
ERBITUX, as a single agent, is indicated for the treatment of EGFR-
expressing mCRC after failure of both irinotecan-and oxaliplatin-based
regimens. ERBITUX, as a single agent, is also indicated for the
treatment of EGFR-expressing mCRC in patients who are intolerant to
irinotecan-based regimens.
For full prescribing information, including boxed WARNINGS regarding
infusion reactions and cardiopulmonary arrest, visit http://www.erbitux.com/.
Important Safety Information
Grade 3/4 infusion reactions occurred in approximately 3% of patients
receiving ERBITUX (cetuximab) in clinical trials with fatal outcome
reported in less than 1 in 1,000. Reactions characterized by rapid onset
of airway obstruction (bronchospasm, stridor, hoarseness), urticaria,
hypotension, loss of consciousness, and/or cardiac arrest. Severe
infusion reactions require immediate and permanent discontinuation of
ERBITUX therapy.
Most reactions (90%) were associated with the first infusion of ERBITUX
despite premedication with antihistamines. Caution must be exercised
with every ERBITUX infusion as there were patients who experienced their
first severe infusion reaction during later infusions. Monitor patients
for 1-hour following ERBITUX infusions in a setting with resuscitation
equipment and other agents necessary to treat anaphylaxis (e.g.,
epinephrine, corticosteroids, intravenous antihistamines,
bronchodilators, and oxygen). Longer observation periods may be required
in patients who require treatment for infusion reactions.
Severe cases of interstitial lung disease (ILD), which was fatal in one
case, occurred in 4 of 1,570 (<0.5%) of
patients receiving ERBITUX in clinical trials. Permanently discontinue
ERBITUX where ILD is confirmed.
In clinical studies of ERBITUX, dermatologic toxicities, including
acneform rash, skin drying and fissuring, paronychial inflammation,
infectious sequelae (eg, S. aureus sepsis, abscess formation,
cellulitis, blepharitis, cheilitis), and hypertrichosis occurred in
patients receiving ERBITUX therapy. Acneform rash occurred in 76-88% of
1,373 patients receiving ERBITUX in clinical trials with severe acneform
rash occurring in 1-17% of patients. Acneform rash usually developed
within the first two weeks of therapy and resolved in a majority of the
patients after cessation of treatment, although in nearly half, the
event continued beyond 28 days. Monitor patients receiving ERBITUX for
dermatologic toxicities and infectious sequelae. Sun exposure may
exacerbate these effects.
In women of childbearing potential, appropriate contraceptive measures
must be used during treatment with ERBITUX and for 6 months following
the last dose of ERBITUX. If ERBITUX is used during pregnancy or if
patients become pregnant while receiving ERBITUX, patients should be
apprised of the potential risk for loss of pregnancy or potential hazard
to the fetus.
Hypomagnesemia occurred in 55% (199/365) of patients receiving ERBITUX
and was severe (NCI CTC grades 3 & 4) in 6-17%. The onset of
hypomagnesemia and accompanying electrolyte abnormalities occurred days
to months after initiation of ERBITUX. Monitor patients periodically for
hypomagnesemia, hypocalcemia and hypokalemia, during and for at least 8
weeks following the completion of ERBITUX. Replete electrolytes as
necessary.
The most serious adverse reactions associated with ERBITUX in
mCRC patients are infusion reactions, dermatologic toxicity, sepsis,
renal failure, interstitial lung disease, and pulmonary embolus.
The most common adverse reactions with ERBITUX (incidence greater than
or equal to 25% in the ERBITUX + plus best supportive care arm (BSC))
(n=288) vs. BSC (n=274), respectively, were fatigue (89%, 76%),
rash/desquamation (89%, 16%), abdominal pain (59%, 52%), pain-other
(51%, 34%), dry skin (49%, 11%), dyspnea (48%, 43%), constipation (46%,
38%), pruritus (40%, 8%), diarrhea (39%, 20%), vomiting (37%, 29%),
infection without neutropenia (35%, 17%), headache (33%, 11%), fever
(30%, 18%), insomnia (30%, 15%), cough (29%, 19%), dermatology-other
(27%, 6%), and stomatitis (25%, 10%).
About ImClone Systems Incorporated
ImClone Systems Incorporated is a fully integrated biopharmaceutical
company committed to advancing oncology care by developing and
commercializing a portfolio of targeted biologic treatments designed to
address the medical needs of patients with a variety of cancers. The
Company’s research and development programs
include growth factor blockers and angiogenesis inhibitors. ImClone
Systems’ headquarters and research operations
are located in New York City, with additional administration and
manufacturing facilities in Branchburg, New Jersey. For more information
about ImClone Systems, please visit the Company’s
web site at http://www.imclone.com.
ERBITUX® is a registered trademark of ImClone
Systems Incorporated.
Certain matters discussed in this news release may constitute
forward-looking statements within the meaning of the Private Securities
Litigation Reform Act of 1995 and the Federal securities laws. Although
the company believes that the expectations reflected in such
forward-looking statements are based upon reasonable assumptions it can
give no assurance that its expectations will be achieved.
Forward-looking information is subject to certain risks, trends and
uncertainties that could cause actual results to differ materially from
those currently expected. Many of these factors are beyond the company's
ability to control or predict. Important factors that may cause actual
results to differ materially and could impact the company and the
statements contained in this news release can be found in the company's
filings with the Securities and Exchange Commission, particularly those
factors identified as "risk factors”
in the Company’s most recent annual report of
Form 10-K and in its quarterly reports on Form 10-Q and current reports
on Form 8-K. For forward-looking statements in this news release, the
company claims the protection of the safe harbor for forward-looking
statements contained in the Private Securities Litigation Reform Act of
1995. The company assumes no obligation to update or supplement any
forward-looking statements whether as a result of new information,
future events or otherwise.
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