Myriad's 24-Month Study of Flurizan Demonstrates Significant Benefit in Alzheimer's Disease Patients
Flurizan Delays Time to Psychiatric Events by Over 7 Months
SALT LAKE CITY, July 19 /PRNewswire-FirstCall/ -- Myriad Genetics, Inc.
(Nasdaq: MYGN) (www.myriad.com) announced today that results of its
completed Phase 2 follow-on study of Flurizan(TM) in patients with mild
Alzheimer's disease were presented at the 10th International Conference on
Alzheimer's Disease and Related Disorders, in Madrid, Spain, by Dr. Gordon
Wilcock, Professor of Clinical Gerontology, Nuffield Department of
Medicine, University of Oxford, and lead investigator for the Phase 2
trial. The data suggest that study participants taking 800 mg BID of
Flurizan demonstrated a substantial benefit over other dose groups in the
study and that this benefit continued to increase over 24 months, for each
of the evaluated areas of cognition, memory loss, global function and
activities of daily living.
The data also suggest that during the follow-on period from months 12
to 24, the benefit of Flurizan increases in terms of both effect size and
significance, the longer patients remain on Flurizan. At month 24, patients
taking 800 mg of Flurizan BID had an effect size of 72%, with a highly
significant value of p=0.0005, as measured by their global function on the
CDR-sb test. In terms of the performance of activities of daily living
(ADCS-ADL) at 24 months, the patients showed a 67% effect size, with a
value of p=0.015, which is also significant. Flurizan is improving the rate
of cognitive decline also, as shown by the effect size of 52% at 24 months
on the ADAS-cog scale. These data suggest that there was a substantial
benefit from Flurizan on activities of daily living and global function,
and that the benefit was increasing over time.
The vast majority (~94%) of patients in this Phase 2 study, at the time
of enrollment, were receiving stable doses of acetylcholinesterase
inhibitors, FDA-approved drugs for symptomatic treatment of Alzheimer's
disease, at the time of enrollment. Thus, the benefits of Flurizan observed
in these patients were over and above the current standard of care.
"The 24 month data completes the Phase 2 follow-on trial with mounting
evidence of efficacy against mild Alzheimer's disease that consistently
increased over the course of the study," said Adrian Hobden, Ph.D.,
President of Myriad Pharmaceuticals, Inc. "The results are consistent with
a mode of action for Flurizan that is modifying the course of the
underlying disease process."
Importantly, the Phase 2 trial also studied the occurrence and timing
of serious psychiatric events in patients with Alzheimer's disease. The
occurrence of psychiatric problems such as agitation, aggression,
confusional state and depression was monitored throughout the study. Over
the course of the 12-month study, approximately 35% of participants taking
placebo experienced such an event. However, patients on 800 mg BID Flurizan
experienced a 60% reduction in psychiatric events (14%, p=0.020) compared
to those on placebo and the time to such an event was significantly longer
with patients on Flurizan than those on placebo (333 days vs. 106 days, a
difference of over 7 months, p=0.011). These data provide an indication
that their disease had progressed more slowly than those on placebo.
"The decrease in the number of psychiatric events and the dramatic
lengthening in time before patients experienced such events while on
Flurizan is an important feature for spouses and caregivers of Alzheimer's
patients, as well as for the patients themselves," said Jacobo Mintzer,
M.D., Professor in the Departments of Psychiatry and Neurosciences and
Director of the Alzheimer's Disease Program at the Medical University of
South Carolina, who is presenting the psychiatric event findings at the
conference. "These events can be as troubling as the more widely recognized
memory loss and decline in cognition to those involved in the devastating
deterioration caused by Alzheimer's disease."
After completion of Myriad's 12-month Phase 2 trial of Flurizan, study
participants who had previously received placebo during the Phase 2 trial
were randomized into the 400 mg BID group or the 800 mg BID group. In this
"randomized start" design, former placebo patients were then followed for
an additional 12 months. Results from this analysis indicate that patients
treated with 800 mg twice daily of Flurizan for 24 months decline more
slowly with regard to cognition, activities of daily living, and global
function than those treated with the same dose for just 12 months in the
follow-on study. Additionally, those former placebo patients who were
randomized onto 800 mg Flurizan twice daily declined more slowly than those
randomized onto 400 mg on both the ADAS-cog and the CDR-sb measures of
disease progression. On the ADCS-ADL measure, the two groups experienced a
comparable decline. Unlike currently marketed drugs for Alzheimer's
disease, which show only symptomatic benefit, there was no indication that
patients who had been on placebo for 12 months would catch up to patients
treated for all 24 months. We believe these results are consistent with the
hypothesis that Flurizan may have disease modifying properties and that the
longer patients with mild Alzheimer's disease are treated with Flurizan,
the slower their disease will progress.
Announcing Myriad's Global Phase 3 Trial of Flurizan in Alzheimer's
Disease
Myriad has begun to enroll a Global Phase 3 trial in patients with mild
Alzheimer's disease including investigators in Italy, France, Germany,
Spain, Sweden, Switzerland, the United Kingdom, Netherlands, the United
States, Belgium, Canada and Denmark. The trial will enroll approximately
800 participants into two groups, 800 mg twice daily and placebo, and the
participants will receive treatment for 18-months.
"We are encouraged by the promising data from our Phase 2 study of
Flurizan in patients with Alzheimer's disease," said Peter Meldrum,
President and Chief Executive Officer of Myriad Genetics, Inc. "Based on
that data, we have advanced our development plans and are pleased to
announce that Myriad has enrolled its first patients in a new global Phase
3 trial."
Myriad is also enrolling patients with mild Alzheimer's disease into a
Phase 3 trial, at 130 centers across the United States. This enrollment is
well advanced and is expected to be complete this summer. The Phase 3 trial
is a double blind, placebo-controlled trial. Patients will be randomized
into one of two groups, receiving either 800 mg of Flurizan or placebo
twice daily for the duration of the 18-month trial period. The study is
designed to determine Flurizan's ability to reduce the rate of cognitive
decline and activities of daily living in patients with mild Alzheimer's
disease, as measured by ADAS-cog and ADCS-ADL, respectively. Information on
participation is available by calling (888) 459-4888.
About Flurizan
Flurizan is the first in a new class of drug candidates known as
Selective Amyloid beta-42 Lowering Agents (SALAs). Flurizan lowered levels
of Abeta42 in cellular assays and animal models. Abeta42 is the primary
constituent of senile plaque that accumulates in the brain of patients with
Alzheimer's disease. It is thought to be the key initiator of Alzheimer's
disease, since Abeta42 has the greatest tendency to aggregate, cause
neuronal damage and initiate amyloid deposits in the brain. Most genetic
mutations that cause early-onset Alzheimer's disease appear to do so by
increasing production of Abeta42. Myriad believes that Flurizan is the most
advanced drug candidate that modifies the production of Abeta42 to be
evaluated in a clinical trial for the treatment of Alzheimer's disease.
About Myriad
Myriad Genetics, Inc. is a biopharmaceutical company focused on the
development and marketing of novel healthcare products. The Company
develops and markets molecular diagnostic products, and is developing and
intends to market therapeutic products. Myriad's news and other information
are available on the Company's Web site at www.myriad.com.
Flurizan is a trademark of Myriad Genetics, Inc. in the United States
and other countries.
This press release contains "forward-looking statements" within the
meaning of the Private Securities Litigation Reform Act of 1995. These
forward looking statements include: the suggestion that study participants
taking 800 mg BID of Flurizan demonstrated a substantial benefit over other
dose groups in the study and that his benefit continued to increase over 24
months; the suggestion that continued treatment with Flurizan will provide
continued and increasing benefits in both effect size and significance in
patients with mild Alzheimer's disease the longer patients remain on
Flurizan; that Flurizan offers benefits over and above the current standard
of care; the decrease in psychiatric effects and the indication that
Alzheimer's disease progresses more slowly for patients on Flurizan; the
belief that Flurizan may have disease modifying properties and that the
longer patients with mild Alzheimer's disease are treated, the slower their
disease will progress; the appearance that Flurizan is modifying the
underlying course of the disease process; the continued encouragement of
the Company by the potential of Flurizan to treat mild Alzheimer's disease;
the anticipated completion of enrollment in the Phase 3 trial in order to
confirm similar efficacy results for Flurizan in a larger population; the
enrollment of patients with mild Alzheimer's disease in a global Phase 3
trial; the continued, on schedule, enrollment of patients with mild
Alzheimer's disease in the Company's Phase 3 trial at 130 U.S. sites; the
design of the Phase 3 study, and the ability of the Phase 3 study, to
successfully determine Flurizan's ability to alter the course of cognitive
decline and functional change in patients with mild Alzheimer's disease as
measured by the ADAS-cog test, and the change in ADCS-ADL, respectively;
and the belief that Flurizan is the most advanced drug candidate in a
clinical trial that inhibits the production of Abeta42 to be evaluated in a
clinical trial for the treatment of Alzheimer's disease. These forward
looking statements are based on management's current expectation and are
subject to certain risks and uncertainties that could cause actual results
to differ materially from those set forth or implied by forward-looking
statements. These include, but are not limited to, uncertainties as to the
extent of future government regulation of Myriad Genetics' business;
uncertainties as to whether Myriad Genetics and its collaborators will be
successful in developing, and obtaining regulatory approval for, and
commercial acceptance of, therapeutic compounds; the risk that markets will
not exist for therapeutic compounds that Myriad Genetics develops or if
such markets exist, that Myriad Genetics will not be able to sell
compounds, which it develops, at acceptable prices; and the risk that the
Company will not be able to sustain revenue growth for its predictive
medicine business and products. These and other risks are identified in the
Company's filings with the Securities and Exchange Commission, including
the Company's current Report on Form 8-K filed October 28, 2005. All
information in this press release is as of July 19, 2006 and Myriad
undertakes no duty to update this information unless required by law.
SOURCE Myriad Genetics, Inc.
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