Research Update

Oxford Biomedica PLC 18 December 2003 18 December 2003 OXFORD BIOMEDICA ONCOLOGY UPDATE Oxford, UK: 18 December 2003 - Oxford BioMedica announced today an update on recent R&D and corporate development progress within its oncology portfolio. Highlights: • Encouraging initial TroVax(R) Phase II results in colorectal cancer • Company's first IND submission for TroVax in renal cancer • Cancer Research UK makes regulatory submission to GTAC for TroVax Phase II trial • Commercial-scale manufacturing agreement for TroVax • Wyeth collaboration on anti-tumour antibody meets key milestone • Intervet research collaboration on TroVax-VET for cancer in companion animals extended to full option to license agreement • Positive final results from the second MetXia(R) Phase I/II trial in breast cancer • MHRA approval for the MetXia Phase I/II trial in pancreatic cancer TroVax: Encouraging initial Phase II results in colorectal cancer The Company is reporting initial data from the Phase II study of TroVax in patients with Stage IV (Dukes' D) colorectal cancer who are receiving first line chemotherapy of 5-fluorouracil (5-FU) and irinotecan. A total of nine patients have been recruited to date. Three of these have been withdrawn from the trial because of an inability to withstand the chemotherapy. The remaining six patients are partway through their TroVax immunisation regime and have shown no adverse effects that can be attributed to TroVax. Although these patients have not completed their course of immunisations, the Company is encouraged by the fact that anti-tumour immune responses have been mounted. Further immunisations are expected to increase this response. Furthermore, T-cell (CD4 and CD8) counts, which are indicators of immune competence, have not been significantly diminished by the chemotherapy; supporting the notion that immunotherapy alongside chemotherapy may be a feasible strategy. Recruitment should be complete by Q1 2004 and further data will be reported with the Company's full year results. Recruitment for the second Phase II study, in Stage IV colorectal cancer patients receiving the chemotherapy combination of 5-FU and oxaliplatin, is underway and initial data will be available in Q2 2004. TroVax: First IND submission for Phase II trial in renal cancer The Company submitted its first IND application to the US FDA on 3 December 2003. The application is for a Phase II trial of TroVax in patients with metastatic renal cancer. There are about 30,000 cases of metastatic renal cancer in the US. Currently the standard of care in many US hospitals, after resection of the primary tumour, is IL2 and this has been shown to have some benefit. Given that IL2 is known to enhance immune responses, this suggests that the tumours may be responsive to immunological strategies. The rationale for this trial is that the immune response produced by TroVax may halt or delay the progression of metastases so increasing survival beyond the current median of 13 months. There is a great need for additional therapies for renal cancer and the regulatory strategy will involve seeking fast track approval and opening discussions about product registration if early data are compelling. The endpoints will be immune responses, tumour responses, time to disease progression and survival. The renal cancer trial will involve 30 patients initially and will be run at the Columbia Hospital, NY although additional NCI groups may be included in the future to increase the rate of patient recruitment. This trial has already been approved by the US Recombinant Advisory Committee (RAC) and has been the subject of a successful pre-IND meeting with the FDA. A response from the FDA is expected in early January. TroVax: Cancer Research UK makes regulatory submission for Phase II trial Cancer Research UK has submitted the trial protocol for a Phase II trial with TroVax in colorectal cancer to the UK Gene Therapy Advisory Committee and a response is expected by 22 December 2003. Oxford BioMedica announced, in August 2003, that Cancer Research UK had agreed to conduct and sponsor an open label Phase II trial with TroVax, in colorectal cancer patients who have liver metastases. The decision by Cancer Research UK followed extensive review of the successful Phase I/II data of TroVax in colorectal cancer patients. The patient population in the trial will comprise twenty Stage IV colorectal cancer patients who are to undergo surgery for resectable liver metastases. Patients will receive injections of TroVax followed by surgery approximately two weeks later. Biopsies of the tumour will be taken at surgery and analysed for TroVax stimulated immune activity. Further vaccinations will be given after surgery. Patients' management will then continue as standard, usually including adjuvant chemotherapy. Patients will be followed after the final vaccination to assess immune responses and toxicity and then monitored over the longer term for clinical benefit. TroVax: commercial-scale manufacturing secured for larger trials In September 2003, Oxford BioMedica signed a manufacturing agreement for the supply of more than 10,000 doses of GMP grade TroVax to cover the requirements for large randomised trials. The manufacturing process is based on the same technology commonly used for infectious disease vaccines. Since unit dose costs can be kept to a minimum, the process is ideal for the commercial production of TroVax. Wyeth collaboration: Milestone achieved with anti-tumour antibody conjugate Wyeth has completed key preclinical studies with Oxford BioMedica's anti-tumour monoclonal antibody linked to calicheamicin, a potent cytotoxic agent. These results trigger a further milestone payment to Oxford BioMedica before the end of 2003. The agreement with Wyeth was originally signed in January 2001. Earlier this year, Wyeth exercised its option for an exclusive license to Oxford BioMedica's anti-tumour antibody for all human cancer indications. Wyeth has full responsibility for the costs of development, marketing and manufacture of products that arise from the programme. The potential value of the deal for Oxford BioMedica is $24 million in upfront and milestone payments. Additionally, Oxford BioMedica will receive royalties on product sales by Wyeth. The successful preclinical work undertaken by Wyeth included optimising the antibody and calicheamicin conjugate and conducting proof-of-efficacy studies in relevant tumour models. Timelines for the completion of preclinical development and initial clinical trials will be established in early 2004. Intervet collaboration: Extension of deal on TroVax-VET On 15 December 2003 an option to license agreement was signed with Intervet (a division of Akzo Nobel) confirming the ongoing commitment of Intervet to the development of novel animal cancer vaccines based on Oxford BioMedica's technology. In January 2003, Oxford BioMedica announced the signing of a research agreement with Intervet for the development of TroVax-VET. As reported in January, the Company and Intervet entered negotiations for a full option to license agreement for TroVax-VET and a number of other veterinary cancer products arising from Oxford BioMedica's antigen discovery programme. MetXia: Final results from second Phase I/II trial in breast cancer Recruitment is now complete in the second Phase I/II trial with MetXia, mainly in breast cancer patients. Recruitment was halted at eight patients because all the requirements of the trial have been met, although patients will continue to be monitored. This second Phase I/II trial is using an improved version of MetXia that effectively increases the dose level. One of the goals of the trial is to show that this higher potency form of MetXia is safe. The trial is also designed to confirm the encouraging immune responses observed in an earlier clinical trial of the original formulation of MetXia as well as to determine whether the higher potency version of the product delivers the therapeutic gene to tumours more efficiently in humans, as it does in preclinical models. In line with initial results reported in July 2003 for the low dose group with the improved formulation, the high dose patients have shown enhanced gene transfer in all cases with no adverse effects of the treatment. Furthermore, five out of seven patients assessed so far have shown an increased immune response to known tumour molecules, confirming the immunogenic properties of MetXia. Detailed data will be published next year in peer-reviewed journals and at relevant conferences. MetXia: MHRA approval for start of a Phase I/II trial in pancreatic cancer On 11 December 2003, the Company received approval from the UK MHRA to proceed with a Phase I/II study of MetXia in patients with pancreatic cancer. Two leading clinical centres in Liverpool and Leicester have supported this regulatory application and plan to commence recruitment before the end of the year. The trial will be an open label study and will initially recruit six patients to assess the safety of MetXia and to identify the optimal dose for the second stage. In the second part of the trial, the cyclophosphamide prodrug will be gradually escalated to identify a maximum tolerated dose. Up to 21 patients will be recruited and endpoints include safety, clinical response and time to disease progression. Pancreatic cancer is amongst the most aggressive with median survival time of only 6-12 months from diagnosis for inoperable cancers. Current treatment options are primarily based on the chemotherapeutic agents 5-fluorouracil and, more recently, gemcitabine. However, these have a minimal effect on median survival underlining the need for novel therapeutic strategies. Given the short survival times and the lack of therapeutic options for this disease, positive data from this trial could lead to accelerated approval for MetXia in this indication. Commenting on Oxford BioMedica's oncology programmes, Dr. Susan Kingsman, SVP Research & Development, said 'Overall we are pleased with the progress of TroVax and MetXia. Although patient recruitment has been rather slow in some cases, the clinical data are encouraging. We are delighted to be initiating clinical trial programmes in the USA and we expect patient recruitment rates to be substantially faster in that environment. We are also particularly pleased to see the Wyeth programme going so well'. In regard to Oxford BioMedica's business development activities in oncology, Nick Woolf, SVP Corporate Strategy, said 'We are very encouraged by the strong support from our current partners. Furthermore, we have received high levels of interest in our in-house pipeline, particularly TroVax, and a key priority for Oxford BioMedica is to secure new collaborations for our lead programmes in 2004.' For further information, please contact: Oxford BioMedica plc Professor Alan Kingsman, Chief Executive Tel: +44 (0)1865 783 000 City/Financial Enquiries: Mike Wort, James Chandler: Beattie Financial Tel: +44 (0)20 7398 3300 Scientific/Trade Press Enquiries: Sue Charles, Katja Stout: Northbank Communications Tel: +44 (0)20 7886 8150 Notes to editors 1. Oxford BioMedica Oxford BioMedica (LSE: OXB) is a biopharmaceutical company specialising in the development of gene-based products for a range of unmet medical needs with an emphasis on new cancer products, which combine novel mechanisms of action with very low side effects, and innovative neurotherapy products, which address large and, in several areas, untapped markets. The products are all protected by multiple patents comprising a total intellectual property portfolio of some 69 patent families, which represents one of the broadest patent estates in the field. In addition to its technical research skill-base, Oxford BioMedica has in-house clinical, regulatory and manufacturing know-how. The development pipeline includes two novel anti-cancer products in clinical trials and a gene-based treatment for Parkinson's disease, which is in late preclinical studies. Oxford BioMedica has a wholly owned subsidiary in San Diego, USA. Oxford BioMedica has corporate collaborations with Wyeth, Intervet, Amersham, Arius Research, Kiadis and Viragen. Further information is available at http://www.oxfordbiomedica.co.uk 2. TroVax(R) cancer immunotherapy TroVax is Oxford BioMedica's leading cancer immunotherapy product. It is designed specifically to stimulate an anti-cancer immune response and has potential application in most solid tumour types. TroVax targets the tumour antigen 5T4, which is broadly distributed throughout a wide range of solid tumours. The presence of 5T4 is correlated with poor prognosis. The product consists of a poxvirus (MVA) gene transfer system, which delivers the gene for 5T4 and stimulates a patient's body to produce an anti-5T4 immune response. This immune response destroys tumour cells carrying the 5T4 protein. Two Phase I/II trials with TroVax have been completed in the UK in late-stage colorectal cancer patients. Following these successful Phase I/II trials, TroVax has entered two Phase II trials in the UK in Stage IV colorectal cancer patients receiving 5FU plus either oxaliplatin or irinotecan. The product is also expected to enter further trials in colorectal, renal and breast cancer. The renal and breast cancer trials are to be conducted in the United States under an Investigational New Drug (IND) application. The renal cancer trial in the US is expected to start enrolment in early 2004. Initial data from the first TroVax Phase II trial in colorectal cancer have confirmed the product's safety profile and have shown that an anti-tumour immune response can be mounted even in the context of chemotherapy. Full results from the colorectal cancer Phase II trials are anticipated in 2004. 3. MetXia(R) gene therapy for cancer A common strategy for the treatment of cancer is to administer cytotoxic (or cell killing) drugs in an attempt to destroy the tumour. Cyclophosphamide is one of a group of drugs that is taken by the patient in the form of an inactive prodrug. The prodrug travels through the body to the liver where enzymes convert it to the active, cytotoxic form. This approach affects the whole body and leads to the familiar adverse side effects of cancer chemotherapy because the cytotoxic drug destroys normal cells on its way from the liver to the tumour. In addition, because the activating enzymes are present only in the liver, high doses of prodrug must be given to achieve therapeutic levels of the cytotoxic drug at the tumour site. Often the therapeutic effect is compromised by the toxicity. Oxford BioMedica's MetXia addresses these problems by delivering a specific human cytochrome P450 gene (CYP2B6) directly to the tumour using a highly engineered retrovirus gene delivery system. Once incorporated into the genetic material of the tumour cells, this gene produces the liver enzyme that converts the cyclophosphamide pro-drug to its active form within the tumour. The aim is to achieve high concentrations of activated cyclophosphamide locally in the tumour while minimising circulating levels of the drug. It is anticipated that this will lead to substantially increased sensitivity of the tumour to the drug and to an ability to reduce the dose of cyclophosphamide, thereby reducing adverse side effects. A Phase I/II trial in late stage breast cancer and melanoma patients was completed in 2002. The product was found to be safe, well tolerated and showed some clinical benefit. In addition to local effects on tumour nodules that had been treated with MetXia, there was evidence of induction of systemic anti-tumour immune responses. A second Phase I/II study, using a higher potency version of MetXia has now completed, showing that delivery of the therapeutic gene to tumour cells is more than 10-fold better than in the previous trial and also that patients are mounting an anti-tumour immune response, confirming the observations made in the first trial. The safety profile of MetXia was also maintained at the higher potency. The first clinical trial of MetXia in pancreatic cancer is expected to start enrolment in early 2004 in the UK. 4. Anti-tumour antibody conjugate Oxford BioMedica licensed its anti-tumour antibody for all human cancer indications to Wyeth in a deal valued at a potential $24 million in upfront and milestone payments, and royalties on sales. The deal was originally signed in January 2001 and extended in February 2003. The most advanced product in development from this collaboration is Oxford BioMedica's anti-tumour antibody linked to calicheamicin, which is a potent cytotoxic agent. The product has now successfully completed key preclinical proof-of-efficacy studies in relevant tumour models. Wyeth has expertise and proprietary technology in the conjugation of calicheamicin to monoclonal antibodies. Calicheamicin is the active component of Mylotarg(R), an antibody conjugate for the treatment of Acute Myeloid Leukaemia that was launched in 2000 by Wyeth in the US. Oxford BioMedica's antibody is directed against a novel proprietary tumour-associated antigen that is expressed on a wide range of solid tumours. Products developed under this agreement are therefore expected to be broadly applicable in the treatment of many kinds of cancer. 5. TroVax(R)-VET In collaboration with InterVet, Oxford BioMedica is developing a veterinary version of TroVax. The product comprises the canine 5T4 gene delivered in a poxvirus (MVA) vector. This information is provided by RNS The company news service from the London Stock Exchange
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