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AVI BioPharma Updates Third-Generation NEUGENE Antisense Program; Research, Preclinical and Clinical Trial Highlights Demonstrate Progress.


PORTLAND, Ore. -- AVI BioPharma, Inc. (Nasdaq:AVII), today announced a year-to-date progress report on its third-generation NEUGENE(R) antisense antisense, DNA or RNA manipulated in a laboratory so that its components (nucleotides) form a complementary copy of normal, or "sense," messenger RNA (mRNA; see nucleic acid).  program highlighting research, preclinical development, and clinical trial programs.

AVI (Audio Video Interleaved) A Windows multimedia video format from Microsoft. It interleaves standard waveform audio and digital video frames (bitmaps) to provide reduced animation at 15 fps at 160x120x8 resolution. Audio is 11,025Hz, 8-bit samples.  pioneered third-generation antisense oligomers starting in the late 1980s to solve the potential problems it perceived with the second-generation antisense technologies, which were ultimately experienced by others in preclinical and clinical development. These problems with earlier technologies still exist today as evidenced by recent high-profile Phase III clinical trial Noun 1. phase III clinical trial - a large clinical trial of a treatment or drug that in phase I and phase II has been shown to be efficacious with tolerable side effects; after successful conclusion of these clinical trials it will receive formal approval from the  failures by other antisense companies. In contrast, AVI's third-generation NEUGENE chemistry has been developed over the past 14 years to overcome the pitfalls of the other antisense backbone chemistries.

In general, antisense compounds are made up of repeating subunits linked together to form a polymer. This is referred to as the antisense backbone. Each antisense subunit carries a genetic letter that matches its complementary letter in the genetic target. Although the naturally occurring genetic letters are common to all antisense compounds, the chemical structures of the subunits and the linkages vary widely.

AVI's proprietary third-generation antisense backbone is an entirely distinct and novel chemistry compared with all other antisense backbones. The backbone chemistry does not resemble structures found in nature and therefore is stealthy stealth·y  
adj. stealth·i·er, stealth·i·est
Marked by or acting with quiet, caution, and secrecy intended to avoid notice. See Synonyms at secret.
 in the body. As such, these advanced antisense structures are not recognized by proteins, receptors, enzymes or other regulatory elements within the body. Thus, NEUGENES either find their genetic target and inactivate in·ac·ti·vate
v.
1. To render nonfunctional.

2. To make quiescent.



in·acti·va
 it or they are cleared by the kidney without any metabolic breakdown.

AVI's third-generation NEUGENE antisense agents also function through a mechanism of action that is completely distinct from other antisense compounds. NEUGENES do not activate enzymes in cells to cleave cleat, cleave

claw of any cloven-footed animal.
 target RNA RNA: see nucleic acid.
RNA
 in full ribonucleic acid

One of the two main types of nucleic acid (the other being DNA), which functions in cellular protein synthesis in all living cells and replaces DNA as the carrier of genetic
, but rather prevent RNA from directing protein synthesis in a well-characterized process that is more efficient than those of other mechanisms. This process also forms the basis of AVI's unique and dominating patent position with third-generation antisense technology.

The third-generation backbone chemistry results in potent inhibitors of targeted genetic function without the side effects, off-target effects or toxicities that have plagued all other antisense chemistries. Advantages in stability, specificity, potency, delivery and, importantly, safety have been demonstrated extensively in animals and confirmed in 11 human clinical trials involving more than 300 patients.

Research and Development

AVI's research program includes both in-house and collaborative programs in functional genomics, infectious disease, cancer, inflammation, cardiovascular disease and immunology.

Zebrafish Functional Genomics

NEUGENE antisense chemistry has become an effective tool for gene knockdown for basic functional genomics studies in zebra fish. The zebra fish model system has become a benchmark for correlating gene function with expression and, thus, leading to new drug development targets. Studies conducted by AVI collaborators, using more than 2,000 NEUGENE agents, demonstrated an effective gene knockdown rate of over 85 percent in fish treated with a single NEUGENE sequence. More than 200 peer-reviewed publications from independent investigators around the world describe evaluation of more than 500 genes in more than 47,000 zebra fish embryos. In these experiments, 74 percent of the NEUGENES demonstrated efficient gene knockdown from a single target design. The large number of observations in embryos presents an impressive 0.17 percent nontargeted effect compared with 0.66 percent spontaneous mutation rate in control embryos from the same studies. No other antisense or gene-targeting chemistry can come close to this level of demonstrated efficiency and specificity.

Infectious Disease Research Program

The infectious disease program at AVI is robust. AVI is currently investigating 17 viral families with a total of 45 viruses, some of which include hepatitis C virus
This page is for the virus. For the disease, see Hepatitis C.
The Hepatitis C virus (HCV) is a small (50 nm in size), enveloped, single-stranded, positive sense RNA virus in the family Flaviviridae.
 (HCV HCV
abbr.
hepatitis C virus


HCV 1 Hepatitis C virus, see there 2. Human coronavirus. See Coronavirus.
), SARS, dengue virus, HIV HIV (Human Immunodeficiency Virus), either of two closely related retroviruses that invade T-helper lymphocytes and are responsible for AIDS. There are two types of HIV: HIV-1 and HIV-2. HIV-1 is responsible for the vast majority of AIDS in the United States. , influenza, West Nile virus West Nile virus, microorganism and the infection resulting from it, which typically produces no symptoms or a flulike condition. The virus is a flavivirus and is related to a number of viruses that cause encephalitis.  (WNV WNV West Nile Virus
WNV World Net Visions
), Respiratory Syncitial virus and the Ebola virus (EBV EBV Epstein-Barr virus.

EBV
abbr.
Epstein-Barr virus


Epstein-Barr virus (EBV)
A virus in the herpes family that causes mononucleosis.
). AVI collaborates on research with more than 50 academic institutions, as well as the Centers for Disease Control and Prevention Centers for Disease Control and Prevention (CDC), agency of the U.S. Public Health Service since 1973, with headquarters in Atlanta; it was established in 1946 as the Communicable Disease Center. , Walter Reed Army Hospital, Southern Research Institute, U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID USAMRIID United States Army Medical Research Institute of Infectious Diseases (US DoD) ) and the National Institute of Allergy and Infectious Diseases (NIAID NIAID National Institute of Allergy and Infectious Diseases. ). These studies are supported by two Cooperative Research and Development Agreements (CRADAs) and three grants from the National Institutes of Health (NIH "Not invented here." See digispeak.

NIH - The United States National Institutes of Health.
). The observations from various studies have been presented at five national and international meetings in 2004. Lessons learned from these studies are directly applicable to AVI's clinical program for HCV and enhance the company's capability to design effective agents for new and engineered pathogens.

Immunology Research Program

The immunology program at AVI has demonstrated remarkable observations in the manipulation of immune responses. Presentations regarding NEUGENE agents targeting B7-2 and c-FLIP immune targets provided the first observations involving reduction in the magnitude of immune response and selective apoptosis in activated T-cells. This resulted in elimination of responses to selected antigens. Further, progress with novel Cytoporter(TM) delivery molecules have been developed for selective and efficient delivery of antisense to cells of the immune system. These research studies will be applied to improved therapeutic management of transplantation immunology and autoimmune diseases.

Preclinical Programs

AVI has three antisense programs in preclinical development; AVI-5126 for coronary artery bypass grafting (CABG CABG coronary artery bypass graft.

CABG
abbr.
coronary artery bypass graft


CABG Coronary artery bypass graft, see there
); AVI-4065 for HCV, and AVI-4539 for Ebola. These programs have completed the research stage, establishing efficacy in the appropriate model systems, including cell-free translation systems, cell culture studies and animal models. The NEUGENE agents have been manufactured under documented conditions in AVI's Good Manufacturing Process (GMP GMP (guanosine monophosphate): see guanine. ) facility for Good Laboratory Practice (GLP See gateway location protocol. ) toxicology and pharmacokinetic studies. These studies are ongoing, and AVI anticipates filing an Investigational New Drug (IND) application for each of these agents in 2005. Phase I and Phase Ib studies also are planned for 2005.

Clinical Trial Update

AVI has completed 11 clinical trials with its third-generation NEUGENE antisense agents involving more than 300 subjects. The trials have involved three distinct genetic targets: the regulatory transcription factor, c-myc; the metabolic enzyme, cytochrome P450 3a4; and a specific regulatory gene of the West Nile virus. Four routes of administration have been used: intravenous, subcutaneous, intra-coronary artery and oral.

C-MYC Target

AVI-4126 targets c-myc and has been used clinically in a safety study in normal volunteers, in a pilot study in cancer, in a trial in polycystic kidney disease Polycystic Kidney Disease Definition

Polycystic kidney disease (PKD) is one of the most common of all life-threatening human genetic disorders.
 (PKD Noun 1. PKD - kidney disease characterized by enlarged kidneys containing many cysts; often leads to kidney failure
polycystic kidney disease

kidney disease, nephropathy, renal disorder, nephrosis - a disease affecting the kidneys
), and in two studies in cardiovascular restenosis. In the safety study, AVI-4126 was found to have an excellent safety profile without the notable side effects that have been documented with other antisense chemistries.

In the cancer study, AVI demonstrated that AVI-4126 was delivered effectively to both vascular (breast cancer) and avascular avascular /avas·cu·lar/ (a-vas´ku-ler) not vascular; bloodless.

a·vas·cu·lar
adj.
Not associated with or supplied by blood vessels.
 (prostate cancer) tumors after IV administration. Based on these pilot findings, AVI plans additional cancer studies with AVI-4126 in both a broad cancer screening trial and a Phase II bladder cancer study.

In the PKD study, AVI demonstrated that AVI-4126 had excellent safety parameters even in patients with impaired kidney function. Based on these prerequisite findings, AVI has developed plans for pilot studies in the childhood variant of PKD, which has high rates of morbidity and mortality Morbidity and Mortality can refer to:
  • Morbidity & Mortality, a term used in medicine
  • Morbidity and Mortality Weekly Report, a medical publication
See also
  • Morbidity, a medical term
  • Mortality, a medical term
.

In the restenosis studies, AVI demonstrated that Resten-NG(R) (AVI-4126) delivered by a catheter into the site of balloon angioplasty demonstrated statistically significant efficacy in preventing restenosis as measured by angiography angiography
 or arteriography

X-ray examination of arteries and veins with a contrast medium to differentiate them from surrounding organs. The contrast medium is introduced through a catheter to show the blood vessels and the structures they supply, including
 and intravascular ultrasound at six months. Based on these findings, AVI has acquired expertise with a drug-eluting stent (DES) platform and plans to initiate studies leading to marketing approval in Europe with its own DES incorporating the advantageous characteristics of AVI-4126. AVI also is using a proprietary micro-particle formulation in clinical studies of AVI-4126 delivered systemically after angioplasty, which may ultimately be used with all types of bare and drug-eluting stents.

Cytochrome P450 3a4 Target

AVI-4557 targets human cytochrome P450 3a4 (P450) and has been used clinically in four drug metabolism trials. In these extensive studies, AVI demonstrated that AVI-4557 administered by three routes -- intravenous, subcutaneous and oral -- inhibited P450, which is responsible for drug metabolism or breakdown. Administration of two test drugs -- BuSpar and midazolam -- after antisense knockdown resulted in alterations in the pharmacokinetic profile of the test drugs exhibiting the predicted increased maximum test drug concentration and half-life. Oral administration of AVI-4557 produced similar results. This was the first demonstration of efficacy for any antisense chemistry via oral administration. Based on these findings, AVI plans to out-license the P450 program to potential pharmaceutical partners. Achieving oral efficacy with third-generation AVI agents also may have profound implications for AVI's infectious disease program, in which oral delivery may be critical.

West Nile Virus Target

AVI-4020 targets the polyprotein gene of West Nile virus and has been used in one completed trial, one ongoing clinical trial and in a compassionate use protocol. AVI-4020 was found to have an excellent safety profile with no adverse advent associated with the drug. In addition, significant concentrations of the drug were found in the cerebral spinal fluid (CSF Cerebrospinal Fluid (CSF) Analysis Definition

Cerebrospinal fluid (CSF) analysis is a laboratory test to examine a sample of the fluid surrounding the brain and spinal cord.
) of patients. This is critical to viral infections that cause neurological symptoms such as WNV. Based on these findings, an efficacy study is underway. Most important, these studies also are directly applicable to AVI's preclinical and future clinical development program on HCV. The WNV program has provided the foundation for the HCV program and shortened the timeline to filing an IND and moving into Phase Ib and Phase II clinical development in HCV.

Ebola Virus Target

AVI-4413 and AVI-4412 were designed to target viral gene expression and viral replication of the Ebola virus and received compassionate use approval from the Food and Drug Administration (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.
) for use in an accident at USAMRIID. AVI is involved in the further preclinical and future clinical development of EBV targets under a Cooperative Research and Development Agreement (CRADA CRADA Cooperative Research And Development Agreement ) with USAMRIID with a budget allocation from the Department of Defense.

Conclusions from the 11 clinical trials with AVI's third-generation NEUGENE antisense agents are that, first and foremost, the proprietary backbone chemistry has an excellent safety record, vastly exceeding those of all other antisense chemistries. There has not been a single drug-related severe adverse event in these trials, though the drug has been administered by four routes in doses up to 10 times that which is anticipated for clinical use. In preclinical animal studies, no adverse events have been observed in doses up to 100 times the anticipated clinical dose. This is crucial, as recent clinical failures by other antisense chemistries have all implicated im·pli·cate  
tr.v. im·pli·cat·ed, im·pli·cat·ing, im·pli·cates
1. To involve or connect intimately or incriminatingly: evidence that implicates others in the plot.

2.
 safety issues. In addition, efficacy in human trials was demonstrated in five clinical studies with two genetic targets and four routes of administration. Unique to this third-generation chemistry is the demonstration of oral efficacy and delivery of the agents across the blood-brain barrier into the cerebrospinal fluid (CSF).

About AVI BioPharma

AVI BioPharma develops therapeutic products for the treatment of life-threatening diseases using two technology platforms: third-generation NEUGENE antisense drugs and cancer immunotherapy. AVI's lead NEUGENE antisense compound is designed to target cell proliferation disorders, including cardiovascular restenosis, cancer and polycystic kidney disease. In addition to targeting specific genes in the body, AVI's antiviral program uses NEUGENE antisense compounds to target single-stranded RNA viruses, including West Nile virus, SARS coronavirus, hepatitis C virus and dengue virus. AVI's second technology, AVICINE(R), is a therapeutic cancer vaccine with late-stage trials planned for the treatment of pancreatic cancer. More information about AVI is available on the company's Web site at http://www.avibio.com.

"Safe Harbor" Statement under 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: The statements that are not historical facts contained in this release are forward-looking statements that involve risks and uncertainties, including, but not limited to, the results of research and development efforts, the results of preclinical and clinical testing, the effect of regulation by the FDA and other agencies, the impact of competitive products, product development, commercialization and technological difficulties, and other risks detailed in the company's Securities and Exchange Commission filings.
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Publication:Business Wire
Geographic Code:1USA
Date:Dec 8, 2004
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