UCB Announces New Data Showing Investigational Drug Lacosamide Significantly Reduced Seizures in Refractory Epilepsy Patients
ATLANTA, Dec. 3 /PRNewswire/ -- UCB today announced new data
demonstrating that the investigational drug lacosamide, with the proposed
brand name Vimpat(TM), administered as oral, adjunctive therapy,
significantly reduced the frequency of seizures and was generally
well-tolerated in patients with uncontrolled partial-onset seizures, for up
to 5.5 years. The results of the two Phase II trials (Abstracts 3.197 and
3.191) were presented today at the 61st annual meeting of the American
Epilepsy Society.
"These findings are encouraging because they show lacosamide
significantly reduced seizure frequency in this refractory patient
population over a long-term period," said Steve S. Chung, Director of
Clinical Epilepsy Research at the Barrow Neurological Institute in Phoenix.
"Approximately one third of people with epilepsy are resistant to current
antiepileptic drugs. These data show lacosamide's potential to fill an
unmet need in this patient population."
The first presentation (SP754) was a double-blind, randomized,
parallel-group, placebo-controlled Phase II trial involving 405 patients
with refractory partial onset seizures, which were uncontrolled despite
treatment with one to three AEDs. The patients were randomized to receive
lacosamide 400 mg/day or 600 mg/day (given in 2 doses), or placebo over the
12-week treatment period.
The median reduction in seizure frequency from baseline was
significantly greater for lacosamide than placebo: 37.3%, 37.8% and 20.8%
for lacosamide 400 mg/day, 600 mg/day, and placebo, respectively.
Significantly more patients achieved a 50% or greater reduction in seizure
frequency with lacosamide than placebo: 38.3%, 41.2% and 18.3% for
lacosamide 400 mg/day, 600 mg/day, and placebo, respectively. Nine subjects
who completed the Maintenance Phase were seizure free throughout the entire
12-weeks: 4 of 160 completers in the 400 mg/day group (2.5%) and 5 of 62
completers in the 600 mg/day group (8.1%).
The most common adverse events associated with lacosamide, occurring in
10% or more of patients, included dizziness, nausea, diplopia, blurred
vision, vomiting, headache, tremor, abnormal coordination, sleepiness, and
nystagmus. A small increase in mean PR interval (4-6 msec) was associated
with 400-600mg/day lacosamide treatment.
Patients in the SP754 trial had the option to transition to an
open-label extension trial (SP615). The presentation of the SP615 data
included an interim analysis of long-term efficacy and safety findings with
lacosamide in 370 patients. The patients received lacosamide 100-800 mg/day
based on the investigator's clinical judgment (median dose 400 mg/day). Of
the 370 patients enrolled, 284 (76.8%) were exposed to lacosamide for more
than 12 months, 224 (60.5%) for more than 24 months, and 140 (37.8%) for
more than 36 months.
The study supported the long-term use (up to 5.5 years) of lacosamide
as an adjunctive treatment in epilepsy patients with partial onset
seizures, finding that the median percent reduction in seizure frequency
across all prior treatment groups was 45.9%. Additionally, 46.6% of
patients had at least a 50% reduction in seizure frequency with lacosamide.
The most common adverse events associated with lacosamide, occurring in
10% or more of patients, were dizziness, headache, fatigue,
nasopharyngitis, diplopia, upper respiratory tract infection, nausea,
abnormal coordination, contusion, vision blurred, vomiting, skin
laceration, and sinusitis. Long-term lacosamide treatment was not
associated with any pattern of change in hematology, clinical chemistry,
vital sign, and body weight measurements with increasing duration of
exposure. A small increase in median PR interval (5 to 9 msec) across all
subjects (all modal doses) was observed on the ECG.
About Lacosamide: Lacosamide is a new chemical entity being developed
as an oral and intravenous formulation for the treatment of partial-onset
seizures.
Lacosamide-a functionalized amino acid-has a novel and dual mode of
action. It selectively enhances slow inactivation of sodium channels and
interacts with the neuroplasticity-relevant target -- collapsin-response
mediator protein-2 (CRMP-2).
An application for lacosamide was filed by UCB and has been accepted by
the U.S. Food and Drug Administration.
About Epilepsy: Almost 2 million people in the U.S. have epilepsy.
Between 70-80% of them are successfully treated with one of the more than
20 antiepileptic drugs now available. However, 20-30% of patients have
either intractable or uncontrolled seizures, or have significant adverse
side effects secondary to medication, highlighting the ongoing need for the
development of new antiepileptic drugs.
About UCB
UCB, Brussels, Belgium (www.ucb-group.com) is a global leader in the
biopharmaceutical industry dedicated to the research, development and
commercialisation of innovative pharmaceutical and biotechnology products
in the fields of central nervous system disorders, allergy/respiratory
diseases, immune and inflammatory disorders and oncology -- UCB focuses on
securing a leading position in severe disease categories. Employing more
than 10,000 people in over 40 countries, UCB achieved revenue of 3.5
billion euro in 2006 on a pro forma basis. UCB is listed on the Euronext
Brussels Exchange and owns approx. 88% of the shares of SCHWARZ PHARMA AG.
SCHWARZ PHARMA AG (Monheim, Germany) is a member of UCB Group.
Forward looking statement
This press release contains forward-looking statements based on current
plans, estimates and beliefs of management. Such statements are subject to
risks and uncertainties that may cause actual results to be materially
different from those that may be implied by such forward-looking statements
contained in this press release. Important factors that could result in
such differences include: changes in general economic, business and
competitive conditions, effects of future judicial decisions, changes in
regulation, exchange rate fluctuations and hiring and retention of its
employees.
SOURCE UCB, Inc.
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