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Alteon's Alagebrium Reverses Erectile Dysfunction In Preclinical Study.

Leading Investigators in ED Field Note Unique Mechanism of Action

Alteon Inc. announced today that its lead A.G.E. Crosslink Breaker compound alagebrium (formerly known as ALT-711) has demonstrated an ability to reverse erectile dysfunction Erectile Dysfunction Definition

Erectile dysfunction (ED), formerly known as impotence, is the inability to achieve or maintain an erection long enough to engage in sexual intercourse.
 (ED) in a preclinical model of diabetes. The preclinical study, entitled "Delayed Administration of ALT-711, but not of Aminoguanidine, Improves Erectile Function in Streptozotocin streptozocin, streptozotocin

a nitrosurea compound with antineoplastic activity, derived from Streptomyces achromogenes; used principally in the treatment of islet-cell tumors of the pancreas.
 Diabetic Rats: Curative Versus Preventive Medicine preventive medicine, branch of medicine dealing with the prevention of disease and the maintenance of good health practices. Until recently preventive medicine was largely the domain of the U.S. ," was presented today at the 11th World Congress of the International Society for Sexual and Impotence Research in Buenos Aires. Independent study authors, Mustafa F. Usta(1,3), Muammer Kendirci(1), Trinity J. Bivalacqua(1,4), Serap Gur(1), Wayne J.G. Hellstrom(1), Neale A. Foxwell(2), and Selim Cellek(2), conclude that alagebrium -- through what appears to be a unique mechanism of action -- offers significant potential for the treatment of diabetic erectile dysfunction.

According to the investigative team, these data are unlike results for existing ED drugs in similar experiments, particularly due to a beneficial effect on the function of the corpus cavernosum corpus cav·er·no·sum
1. Either of two parallel columns of erectile tissue forming the body of the clitoris in women and the dorsal part of the body of the penis in men.

. "Alagebrium appears to have significant therapeutic potential for the treatment of diabetic erectile dysfunction, with a unique mechanism of action," said Wayne J.G. Hellstrom, M.D., an author of this study and many of the seminal studies in ED.

An estimated 30-40 percent of diabetic and aged patients with ED do not receive benefit from currently available drugs, and patients with diabetes or severe vascular disease are among the most refractory to such treatment. This occurs, in part, because the corpus cavernosum, the structure that acts as an expandable reservoir for blood, has become significantly glycated and fibrotic, unable to properly dilate dilate /di·late/ (di´lat) to stretch an opening or hollow structure beyond its normal dimensions.

To make or become wider or larger.
 due to the accumulation and crosslinking of pathological structures called advanced glycation end-products (A.G.E.s). A.G.E.s have been implicated in the fibrosis and stiffening of tissues and organs throughout the body and have been shown to contribute to many inflammatory processes. A.G.E.s have been demonstrated to impair erectile function in diabetes by affecting the functional capabilities of the corpus cavernosum and by interfering with the production of natural penile penile /pe·nile/ (pe´nil) of or pertaining to the penis.

Of or relating to the penis.


of or pertaining to the penis.
 vasodilating agents, endothelial endothelial /en·do·the·li·al/ (-the´le-al) pertaining to or made up of endothelium.
A layer of cells that lines the inside of certain body cavities, for example, blood vessels.
 and neuronal nitric oxide nitric oxide or nitrogen monoxide, a colorless gas formed by the combustion of nitrogen and oxygen as given by the reaction: energy + N2 + O2 → 2NO; m.p. −163.6°C;; b.p. −151.8°C;.  (NO).

Study authors investigated the effect of delayed administration of alagebrium, a crosslink breaker of A.G.E.s, as compared to aminoguanidine (pimagedine), an inhibitor of A.G.E.s, in a well-established ED animal model. In previous preclinical and clinical testing, alagebrium has demonstrated the ability to cleave cleat, cleave

claw of any cloven-footed animal.
 advanced glycation end-product crosslinks as well as diminish deleterious inflammatory responses caused by A.G.E.s. Aminoguanidine has previously been shown to prevent ED in diabetic animals if given immediately after the induction of diabetes. In the current study, both aminoguanidine and alagebrium were initiated at the 6th week of diabetes and the two treated groups were compared to a group of age-matched controls and a group of untreated diabetic animals. Twelve weeks after diabetes induction, in vivo intracavernosal pressure measurements were assessed, as well as serum and penile A.G.E. levels. The diabetic rats had a significant decrease in erectile function as assessed by the level of intracavernosal pressure obtained after cavernosal nerve stimulation and elevated A.G.E. levels when compared to the control rats. The administration of alagebrium resulted in a significant improvement in erectile function, as well as a decrease in serum and tissue A.G.E. levels, while the delayed administration of aminoguanidine did not correct either A.G.E. levels or erectile dysfunction. In addition, alagebrium normalized other diabetes-induced pathologies associated with ED, an effect unlike any currently marketed therapies used to treat symptoms of the condition. The results of the preclinical study have been submitted for publication in a peer-reviewed medical journal.

In prior clinical and preclinical studies, alagebrium has been shown to have a remodeling effect on the cardiovascular system cardiovascular system: see circulatory system.
cardiovascular system

System of vessels that convey blood to and from tissues throughout the body, bringing nutrients and oxygen and removing wastes and carbon dioxide.
(5) as well a positive effect on systolic hypertension(6) and vascular compliance(7). The drug is currently in Phase 2 studies in patients with hypertension and heart failure. In addition, it is being studied for its effect in endothelial dysfunction, a condition also linked to erectile dysfunction.

"We are actively evaluating a clinical development pathway for the ED indication," said Kenneth I. Moch, President and CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board. . "Because ED is an early indicator of vascular disease, this exciting research by world-renowned ED investigators is fully consistent with, and supportive of, our ongoing clinical development programs for alagebrium in hypertension and heart failure. Should alagebrium's therapeutic effect be seen in human studies in ED, this would not only represent a breakthrough for ED, but would also be indicative of alagebrium's potential to reverse pathologies in a number of other human vascular diseases."

Understanding the Link between Erectile Dysfunction and Vascular Disease

Erectile dysfunction is defined as the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual intercourse. ED has been reported to affect as many as 20 to 30 million men in the United States and 152 million men worldwide, according to the National Institutes on Health. The risk for ED increases progressively with advancing age, with an estimated 54 percent of men ages 65 to 70 reporting some degree of impotence (Nicolosi, 2003). It is believed that 85-90 percent of ED cases are related to a physical or medical condition, while 10-15 percent is due to psychological causes.

Many studies have identified ED as an early indicator of cardiovascular diseases, including hypertension, heart attack and stroke, and point to the underlying dysfunction of the arteries and vascular system as a principal cause. ED is commonly associated with a number of other conditions frequently occurring in aging men, including prostatic hypertrophy hypertrophy (hīpûr`trəfē), enlargement of a tissue or organ of the body resulting from an increase in the size of its cells. Such growth accompanies an increase in the functioning of the tissue. , arterial hypertension, ischemic heart disease Ischemic heart disease
Insufficient blood supply to the heart muscle (myocardium).

Mentioned in: Myocarditis

ischemic heart disease 
, peripheral vascular disease Peripheral Vascular Disease Definition

Peripheral vascular disease is a narrowing of blood vessels that restricts blood flow. It mostly occurs in the legs, but is sometimes seen in the arms.
, atherosclerosis, hyperlipidemia hyperlipidemia /hy·per·lip·id·emia/ (-lip?i-de´me-ah) elevated concentrations of any or all of the lipids in the plasma, including hypertriglyceridemia, hypercholesterolemia, etc. , and diabetes mellitus.

About Alteon

Alteon is developing several new classes of drugs that have shown the potential to reverse or slow down diseases of aging and complications of diabetes. These compounds have an impact on a fundamental pathological process caused by the progressive formation of protein-glucose complexes called Advanced Glycation End-products (A.G.E.s). The formation and crosslinking of A.G.E.s lead to a loss of flexibility and function in body tissues and organs and have been shown to be a causative factor in many age- related diseases and diabetic complications. Alteon has created a library of novel classes of compounds targeting the A.G.E. Pathway.

Alteon's lead compound alagebrium chloride (formerly ALT-711), the only A.G.E. Crosslink Breaker in advanced human testing, has demonstrated safety and efficacy in several Phase 2 trials and is actively being developed for systolic hypertension and heart failure. Over 1200 patients have been involved in alagebrium's human clinical trials to date, of whom approximately 900 have received active compound. Ongoing clinical trials include the phase 2b systolic hypertension trial, SPECTRA (Systolic Pressure Efficacy and Safety Trial of Alagebrium), and the phase 2a heart failure trial, PEDESTAL (Patients with Impaired Ejection Fraction and Diastolic Dysfunction: Efficacy and Safety Trial of ALagebrium), as well as a third trial exploring mechanism of action in endothelial dysfunction. For more detailed scientific information about alagebrium and a copy of the full abstract, please visit the scientific publications section of the Alteon website, .

Any statements contained in this press release that relate to future plans, events or performance are forward-looking statements that involve risks and uncertainties including, but not limited to, those relating to technology and product development (including the possibility that early clinical trial results may not be predictive of results that will be obtained in large-scale testing or that any clinical trials will not demonstrate sufficient safety and efficacy to obtain requisite approvals or will not result in marketable products), regulatory approval processes, intellectual property rights and litigation An action brought in court to enforce a particular right. The act or process of bringing a lawsuit in and of itself; a judicial contest; any dispute.

When a person begins a civil lawsuit, the person enters into a process called litigation.
, competitive products, ability to obtain financing, and other risks identified in Alteon's filings with the Securities and Exchange Commission. The information contained in this press release is accurate as of the date indicated. Actual results, events or performance may differ materially. Alteon undertakes no obligation to publicly release the result of any revision to these forward-looking statements that may be made to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events.
   1 Department of Urology, Tulane Health Sciences Centre, New Orleans, USA
   2 Wolfson Institute for Biomedical Research, University College London,
     London, UK
   3 Present address:  Urology Department, Akdeniz University, Antalya,
   4 Present address:  Department of Surgery, Johns Hopkins Hospital,
     Baltimore, USA
   5 "Effect of ALT-711, a Novel Glucose Cross-link Breaker, in the
     Treatment of Diastolic Heart Failure."  Poster presentation, European
     Society of Cardiology Congress 2003.  Dalane W. Kitzman, Michael Zile,
     William C. Little, W. Gregory Hundley, Terrence X. O'Brien, Robert C.
   6 "A Clinical Trial of an A.G.E. Cross-link Breaker, Alagebrium Chloride
     (ALT-711), in Systolic Hypertension."  Abstract presented at the
     American Society of Hypertension Nineteenth Annual Scientific Meeting,
     May 19, 2004.  George L. Bakris, Alan Bank, David C. Kass, Joel Neutel,
     Richard Preston.
   7 "Improved Arterial Compliance by a Novel Advanced Glycation End-Product
     Crosslink Breaker."  Circulation: 2001; 104: r8-r14.  David A. Kass,
     Edward P. Shapiro, Miho Kawaguchi, Anne R. Capriotti, Angelo Scuteri,
     Robert C. deGroof, Edward G. Lakatta.

CONTACT: Susan M. Pietropaolo, Director, Corporate Communications & Investor Relations, +1-201-818-5537(direct) for Alteon Inc.

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Date:Oct 18, 2004
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