Research Update

Allergy Therapeutics PLC 18 April 2007 Wednesday 18 April 2007 Allergy Therapeutics plc Announces Conclusive Results Of Oral Allergy Vaccine Study Promising Preliminary Results Reinforced In High Allergen Dose Group Allergy Therapeutics plc (AIM: AGY), the specialist pharmaceutical company focussed on allergy vaccination announces the successful conclusion of its Phase IIA oral allergy vaccine study following on a December announcement of promising initial data. That earlier announcement was based on the preliminary data from three study groups and today's announcement gives further details plus the data from a fourth study group that received a higher dose of grass pollen allergen. Allergy Therapeutics' new generation of allergy vaccines use MPL(R) an innovative TLR4-agonist as an adjuvant to boost and accelerate the immune response of an allergy vaccine. This study (Study 103) recorded a number of firsts. It was the first ever examination of oral delivery of MPL in humans and it was the first time that any adjuvant has ever been clinically tested in an oral allergy vaccine. The study showed that: • The vaccine was safe and well tolerated • Clinical symptoms improved following an eight week treatment period • Immunological response was noted following an eight week treatment period • Efficacy results follow a MPL dose dependant pattern Fuller analysis of the data has given Allergy Therapeutics further confidence that it can develop an effective, rapid-onset, orally delivered allergy vaccine. As a next step, the Company is discussing the study results with leading allergy specialists to define the potential clinical benefit of MPL in orally administered allergy vaccines and is completing an evaluation of the formulation of a commercial product in preparation for further Phase II development. What does it mean for allergy sufferers? Allergic rhinitis or hay fever affects 35.9 million people in the United States alone according to the AAAAI and is a large and growing problem. Worldwide over 150 million people are estimated to suffer from allergic rhinitis. The development of a convenient, effective, short course, oral allergy vaccine would have significant implications for allergy therapy and redefine the market for allergy products. Currently available oral allergy vaccines require prolonged treatment periods leading to poor patient compliance and low efficacy. There is an existing substantial unmet medical need and substantial costs to society including US$12 billion of spending on pharmaceuticals each year. Full Details of Study 103 The purpose of Study 103 was to investigate the potential benefit of MPL when administered orally for the first time as part of a sublingual vaccine. Study 103 was a double-blind placebo-controlled safety study evaluating different doses of MPL and grass pollen allergen involving 4 groups of 20 grass pollen sensitive subjects (16 active plus 4 placebo per group). Subjects self administered the liquid sublingual vaccines daily for 8 weeks and assessments were made during and 2 weeks after the dosing period. Group 1 received Allergy Therapeutics' Oralvac Plus grass pollen vaccine; Group 2 received a similar vaccine incorporating a low dose of MPL and Group 3 likewise but with a higher dose of MPL. Group 4 received the higher dose of MPL but with a higher grass pollen allergen dose. Comparisons were made with the overall number of patients on placebo (n=16). The primary objective of the study was safety and tolerability. Throughout the study, all vaccines were well tolerated with no patients withdrawn due to adverse events and no reports of serious or severe adverse reactions. The nature of adverse events was as expected with slightly more patients reporting transient mild itching in the mouth during the first couple of days on active treatment compared to placebo. There was no evidence of any adverse effect associated with the use of MPL. The secondary objective of the study was to investigate the contribution of MPL to the activity of the vaccines as measured by clinical (nasal challenge) and immunological (IgG, IgG1, IgG4 and IgE) parameters. The nasal challenge test involves the objective measurement of nasal airflow, together with assessment of nasal secretions and irritation and other non-nasal symptoms, at 10, 20 and 30 minutes after allergen is sprayed into the nose. A negative test indicates minimum reaction to the allergen challenge throughout. Groups 3 and 4 show a notably greater proportion of patients with a negative nasal challenge compared to placebo (44% vs 19%) following treatment (ITT). A further analysis indicates that Groups 3 and 4 (high dose MPL) show a statistically significant improvement in nasal challenge over placebo combined with Groups 1 and 2 (low dose MPL) (p<0.05). In terms of immune response, all the active treatment groups showed an increase in median IgG following treatment, yet with Groups 3 and 4 this rise was evident earlier, after 3 to 5 weeks of treatment. Regarding the IgG subclasses, an increase in IgG4 in particular seemed to be associated with the addition of MPL. As would be expected with allergy vaccination, a rise in IgE was also associated with active treatment; however, the rise in IgE was lowest with the higher MPL dose Groups 3 and 4. In summary, the results from Study 103 indicate a pattern of response with the oral administration of MPL that matches with that already experienced with subcutaneous administration - a stimulation of immune response accompanied by clinical benefit (increase in negative nasal challenge after 8 weeks therapy). Further detailed analyses of the nasal challenge component scores and of secretory immunoglobulins, cytokines and other inflammatory markers is underway. Keith Carter, Chief Executive of Allergy Therapeutics, said: "Allergy Therapeutics' objective is to transform allergy treatment. We have two pivotal phase III allergy vaccine trials underway for Pollinex Quattro, with MPL, using subcutaneous administration. MPL assists in allowing Pollinex Quattro to be dosed in four injections rather than the sixteen to fifty injections that are currently standard practise in many parts of the world. Study 103 demonstrates that MPL may have a similar potential of effect in oral administration. Currently available oral allergy vaccines require prolonged treatment periods involving more than one thousand doses over a three and a half year period. We are now confident that MPL will allow us to do better than this." Professor Ludger Klimek, University of Mannheim, said: "These results are very exciting. The nasal challenge is a robust model demonstrating clinical efficacy and we have not seen similar results before with an oral vaccine after just 8 weeks treatment. I look forward to presenting these results at the EACCI meeting in Goteborg in June 2007" For further information Allergy Therapeutics +44 (0) 1903 844 722 Keith Carter, Chief Executive Financial Dynamics +44 (0) 207 831 3113 David Yates Ben Brewerton This information is provided by RNS The company news service from the London Stock Exchange
UK 100

Latest directors dealings