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ADVENTRX Presents CoFactor Toxicity and Pharmacodynamics Data from Phase II Trial.


SAN DIEGO -- ADVENTRX Pharmaceuticals, Inc. (AMEX AMEX

See: American Stock Exchange
:ANX ANX Annex
ANX Adventrx Pharmaceuticals (San Diego, CA)
ANX Automotive Network Exchange (AIAG)
ANX Advanced Network Exchange
ANX Ascending Node Crossing (satellites) 
) today announced that it presented CoFactor cofactor

An atom, organic molecule, or molecular group that is necessary for the catalytic activity (see catalysis) of many enzymes. A cofactor may be tightly bound to the protein portion of an enzyme and thus be an integral part of its functional structure, or it may
(TM) toxicity and pharmacodynamics pharmacodynamics /phar·ma·co·dy·nam·ics/ (-di-nam´iks) the study of the biochemical and physiological effects of drugs and the mechanisms of their actions, including the correlation of their actions and effects with their chemical  data collected from the Company's ongoing CoFactor Phase II clinical trial Noun 1. phase II clinical trial - a clinical trial on more persons than in phase I; intended to evaluate the efficacy of a treatment for the condition it is intended to treat; possible side effects are monitored
phase II
 in metastatic colorectal cancer. This data suggests that there is negligible risk of toxicity.

C. Paul Spears, M.D., co-inventor of CoFactor, investigator in the COFU trial and lead author on the study, presented the results during the 96th Annual Meeting of the American Association for Cancer Research Wikipedia is not the place for advertisement or self-advertising.

The American Association for Cancer Research (AACR) is an organization based in Philadelphia, Pennsylvania, that focuses on all aspects of cancer research including basic, clinical and translational
 (AACR AACR American Association for Cancer Research
AACR Anglo-American Cataloging Rules
AACR Australasian Association of Cancer Registries
AACR African Armed Conflicts Resolved
) in Anaheim, Calif.

Use of 5,10-methylene-tetrahydrofolate ((6R,S)-5,10-methylene-tetrahydropteroyl-monogluta-ate, CH2FH4) for promotion of 5-fluorouracil (5-FU) metabolite fluorodeoxyuridylate inhibition of thymidylate synthase has been promising for parameters of efficacy in solid tumors, with less toxicity than by use of leucovorin. CH2FH4 in dilute aqueous solution potentially could form formaldehyde (CHO CHO Carbohydrate (chemical formla Carbon Hydrogen Oxygen)
CHO Chinese Hamster Ovary
CHO Chemical Hygiene Officer
CHO Chief Health Officer (corporate title) 
) intermediates through kinetic dissociation of the methyene unit. Formation of CHO in vivo could be toxic, as in methanol metabolism. Formic acid is an end-metabolite of CHO and a marker for CHO toxicity.

Addition of CH2FH4 (CoFactor(TM)), 60 mg/m2, bolus i.v., to i.v. weekly 5-FU, 450 mg/m2, was carried out in a Phase II trial in colon cancer patients as initial treatment of metastatic disease. Urinary formic acid levels were determined by ion chromatography at baseline, and at 2, 6, and 24 h after 5-FU/ CH2FH4, in the first 16 patients. This was repeated weekly for 6 weeks of the first cycle. Clinical markers related to CH2FH4 metabolism also included blood levels of B12, homocysteine Homocysteine Definition

Homocysteine is a naturally occurring amino acid found in blood plasma. High levels of homocysteine in the blood are believed to increase the chance of heart disease, stroke, Alzheimer's disease, and osteoporosis.
, and RBC RBC red blood cell.

RBC or rbc
abbr.
red blood cell


RBC,
n See red blood cell count.


RBC

red blood cells; red blood (cell) count (see blood count).
 folate folate /fo·late/ (fo´lat)
1. the anionic form of folic acid.

2. more generally, any of a group of substances containing a form of pteroic acid conjugated with l-glutamic acid and having a variety of substitutions.
.

Normal urinary formic acid levels are 5 ug/mL (range, 0 - 12). Baseline pre-dose formic acid values of the first 16 patients on weekly 5-FU/ CH2FH4 showed a mean of 3.7 ug/mL (SD 6.14) and median value of 2.0 ug/mL (range, 0 - 26). The average value at 2 h was 2.0 (SD 1.32) and at 24 hours, 1.7 ug/mL (median 1.9 and 2.0 respectively, range 0 - 5.3 for 2 h, 0 - 3.0 for 24 h). Baseline pre-dose RBC folate levels (by methotrexate methotrexate, drug used in halting the growth of actively proliferating tissues. Introduced in the 1950s, it is used in the treatment of leukemia, psoriasis, and non-Hodgkin's lymphoma.  competition) were 585, 573, and 442 ng/mL in the first three patients of study. Sustained increases to 1689, 1334, and 862 ng/mL, respectively, after weekly 5-FU/ CH2FH4 were noted.

Results of homocysteine levels in serum in 24 patients are available. Baseline mean pre-dose levels were 9.55 uM (SD 2.71), with no change at week two or later post-dosing, 9.75 uM (SD 2.25). However, one patient with a baseline homocysteine value of 14.2 showed a drop to 4.3 uM.

In conclusion, the metabolism of i.v. CH2FH4 at 60 mg/m2, which results in marked RBC folate pool expansion, not only results in no immediate or delayed formic acid excretion, but may be associated with a decrease in urinary formate formate /for·mate/ (for´mat) a salt of formic acid.

for·mate
n.
A compound, such as a salt or ester of formic acid, that contains the HCOO- radical.
. This is consistent with the established use of reduced folates for treatment of methanol/CHO toxicity. CH2FH4 may bind additional moles of CHO, or this may occur through FH4 its major metabolite.

"This study demonstrates that the simple, rapid administration of CoFactor shows direct and sustained expansion of folate pools without concomitant toxicity," said Joan M. Robbins, Ph.D., ADVENTRX chief technical officer and co-author of the study. "We continue to be encouraged by the safety profile for CoFactor."

This abstract "Pharmacodynamics of weekly intravenous methylene-tetrahydrofolate/5-fluorouracil on formic acid, RBC folate, and homocysteine levels in patients with metastatic colon cancer" is available via the Company's Web site at www.adventrx.com.

ADVENTRX has filed for clearance to initiate a Phase III trial in the US and recently received clearance in the UK to begin an international Phase IIb trial with CoFactor in metastatic colorectal cancer and intends to file in the first half of this year for clearance to initiate an EU-based Phase III study in pancreatic cancer.

About CoFactor

CoFactor is a folate-based biomodulator drug developed to enhance the activity of the widely used cancer chemotherapeutic, 5-FU. Clinical data from previous clinical trials in Europe have demonstrated clinical benefit and improved overall median survival in patients with advanced tumors, including colorectal, pancreatic and breast. CoFactor creates more stable binding, compared to leucovorin, of the active form of 5-FU, FdUMP, to the target enzyme, thymidylate synthase (TS). CoFactor bypasses the chemical pathway required by leucovorin to deliver the active form of folate to allow 5-FU to work more effectively. This improves 5-FU performance and lowers toxicity. ADVENTRX is the exclusive licensee of this compound. More information on CoFactor can be found at http://www.adventrx.com/products/antic_cofactor.htm.

About ADVENTRX

ADVENTRX Pharmaceuticals is a biopharmaceutical research and development company focused on introducing new technologies for anticancer and antiviral treatments that improve the performance of existing drugs and address significant problems such as drug metabolism, bioavailability bioavailability /bio·avail·a·bil·i·ty/ (bi?o-ah-val?ah-bil´i-te) the degree to which a drug or other substance becomes available to the target tissue after administration.

bi·o·a·vail·a·bil·i·ty
n.
 and resistance. More information can be found on the Company's Web site at www.adventrx.com.

Forward-Looking Statement

This press release contains forward-looking statements within the meaning of the "safe harbor" provisions of the Private Securities Litigation Reform Act The Private Securities Litigation Reform Act of 1995 (PSLRA) implemented several significant substantive changes affecting certain cases brought under the federal securities laws, including changes related to pleading, discovery, liability, class representation and awards fees and  of 1995. Such statements are made based on management's current expectations and beliefs. Actual results may vary from those currently anticipated based upon a number of factors, including uncertainties inherent in the drug development process, the timing and success of clinical trials, the validity of research results, and the receipt of necessary approvals from the FDA FDA
abbr.
Food and Drug Administration


FDA,
n.pr See Food and Drug Administration.

FDA,
n.pr the abbreviation for the Food and Drug Administration.
 and other regulatory agencies. For a discussion of such risks and uncertainties, which could cause actual results to differ from those contained in the forward-looking statements, see "Risk Factors" in the Company's last quarterly report on Form 10-QSB, as well as other reports that the Company files from time to time with the Securities and Exchange Commission. All forward-looking statements are qualified in their entirety by this cautionary statement. The Company undertakes no obligation to release publicly any revisions, which may be made to reflect events or circumstances after the date hereof.

NOTE TO EDITORS:

--2 and 4 are subscript when used as part of "CH2FH4" or "FH4" throughout the release.

--The 2 is a superscript when used as part of "60 mg/m2" or "450 mg/m2" throughout the release.

--A "u" represents a micron symbol when used as part of any of the following: "5 ug/mL," "3.7 ug/mL," "2.0 ug/mL," "1.7 ug/mL," "9.55 uM," "9.75 uM," and "4.3 uM."
COPYRIGHT 2005 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:1USA
Date:Apr 19, 2005
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