Enzon Provides Clinical Updates on Three Oncology Candidates at Annual Meeting of American Society of Clinical Oncology.Business Editors/Health/Medical Writers 40th Annual Meeting of the American Society of Clinical Oncology American Society of Clinical Oncology, or ASCO, is an organization that represents all clinical oncologists. Every year, ASCO holds a large symposium where physicians and researchers meet to convey and discuss research and ideas. BRIDGEWATER, N.J.--(BUSINESS WIRE)--June 7, 2004 Enzon Pharmaceuticals, Inc. (NASDAQ NASDAQ in full National Association of Securities Dealers Automated Quotations U.S. market for over-the-counter securities. Established in 1971 by the National Association of Securities Dealers (NASD), NASDAQ is an automated quotation system that reports on :ENZN) -- Onco TCS (Transportation Control System) A widely used integrated information system for railroad transportation developed by the Missouri Pacific Railroad Company in the late 1960s and early 1970s. It was later implemented by Union Pacific when the companies merged. Demonstrates Potential in the First-Line Setting for NHL NHL Non-Hodgkin's lymphoma, see there -- Pegamotecan Phase 2 Study Meets Primary Endpoint -- SS1P Phase 1 Study Shows Evidence of Anti-tumor Activity and Clinical Benefit Enzon Pharmaceuticals, Inc. (NASDAQ:ENZN) today provided a summary of clinical advancements at the 40th Annual Meeting of the American Society of Clinical Oncology (ASCO ASCO American Society of Clinical Oncology ASCO Association of Schools and Colleges of Optometry (since 1941; Rockville, Maryland) ASCO Australian Standard Classification of Occupations ASCO Automatic Switch Company ) in New Orleans, Louisiana. Poster presentations included follow-up results from a Phase 2 study that demonstrated the promise of Onco TCS (vincristine sulfate liposomes Liposomes Aqueous compartments enclosed by lipid bilayer membranes; liposomes are also known as lipid vesicles. Phospholipid molecules consist of an elongated nonpolar (hydrophobic) structure with a polar (hydrophilic) structure at one end. injection) in combination therapy for the first-line treatment of aggressive non-Hodgkin's lymphoma (NHL). Also presented were results from a Phase 2 study for Pegamotecan, a novel pegylated camptothecin conjugate, for the treatment of gastric and gastroesophageal gastroesophageal /gas·tro·esoph·a·ge·al/ (-e-sof?ah-je´al) 1. pertaining to the stomach and esophagus. 2. proceeding from the stomach to the esophagus. cancers and results from a National Cancer Institute (NCI See Liberate. ) Phase 1 study for SS1P, a recombinant immunotoxin immunotoxin /im·mu·no·tox·in/ (im´u-no-tok?sin) any antitoxin. im·mu·no·tox·in n. A hybrid molecule formed by binding a toxin to a monoclonal antibody, used to destroy tumor cells. under investigation as a potential therapy for mesothelin-expressing cancers, (e.g. mesothelioma Mesothelioma Definition Mesothelioma is an uncommon disease that causes malignant cancer cells to form within the lining of the chest, abdomen, or around the heart. Its primary cause is believed to be exposure to asbestos. , ovarian cancer, and pancreatic cancer). Investigators from each of the studies presented the data from their respective trials during the ASCO meeting, June 5 through June 7, 2004. Key highlights from the presentations have been included below. "Enzon is continuing to make significant progress in advancing its clinical pipeline of oncology drug candidates. The multiple presentations at this year's ASCO meeting exemplifies our team's ability to successfully execute Enzon's strategy and further underscores our commitment to expand and advance our clinical pipeline," stated Uli Grau, Ph.D., Enzon's Chief Scientific Officer. Onco TCS Investigators presented follow-up results of a Phase 2 clinical trial phase 2 clinical trial Phase 2 study. See Phase study. , which demonstrated the potential of Onco TCS as part of a combination regimen in the first-line treatment of aggressive NHL. The study is being sponsored by Enzon and its partner Inex Pharmaceuticals Corporation (TSX TSX Toronto Stock Exchange (TSE before April, 2002) TSX Transfer from Stack Pointer to Index TSX True Space Extension :IEX IEX Ion Exchange (chromatography) IEX Inter-Exchange Carrier ). Results were released from 68 evaluable patients in a Phase 2 open-label study conducted at the University of Texas M.D. Anderson Cancer Center in Houston, Texas in which Onco TCS was used in combination with cyclophosphamide cyclophosphamide /cy·clo·phos·pha·mide/ (-fos´fah-mid) a cytotoxic alkylating agent of the nitrogen mustard group; used as an antineoplastic, as an immunosuppressant to prevent transplant rejection, and to treat some diseases , doxorubicin hydrochloride, and prednisone prednisone (prĕd`nĭsōn): see corticosteroid drug. . Rituxan(R) was also administered to those patients with B-cell lymphoma. Key findings from the study were as follows: -- Sixty-three patients, (93%) of patients, responded to the therapy. Sixty-two patients had their tumors completely eliminated for a complete response rate of 91% and one patient's tumor volume decreased by more than 50% for a partial response rate of 1% and an overall response rate of 93%. -- Of the 68 patients, 37 patients were over the age of 60 years and 91% of these patients were complete responders. In the 31 patients under the age of 60 years, 90% were complete responders and 3% were partial responders. Treatment was well tolerated by both groups with only 6% of patients withdrawing during the trial from adverse events. -- 88% of courses were delivered at full dose with no dose capping. Adverse events observed were consistent with those seen with the standard first-line chemotherapy combination (neurotoxicity neurotoxicity /neu·ro·tox·ic·i·ty/ (noor?o-tok-sis´it-e) the quality of exerting a destructive or poisonous effect upon nerve tissue. , anemia, neutropenia Neutropenia Definition Neutropenia is an abnormally low level of neutrophils in the blood. Neutrophils are white blood cells (WBCs) produced in the bone marrow that ingest bacteria. and thrombocytopenia Thrombocytopenia Definition Thrombocytopenia is an abnormal drop in the number of blood cells involved in forming blood clots. These cells are called platelets. ). -- Investigators also presented positive patient survival data. At a median follow-up of 22 months, median progression-free survival and median overall survival were not yet reached. Overall survival was 99% (1 death) and progression-free survival was 87% (9 relapses). Progression-free survival for the elderly patient group was 86% (5 relapses) and 87% for the younger patient group (4 relapses). -- Based on these data the investigators concluded that Onco TCS may represent an important new drug when used in combination for aggressive NHL. One-year interim results of this study were released in December 2002 at the American Society of Hematology (ASH) meeting and provided the initial analysis of the data. The ASCO results provide data analysis after a longer period of follow-up. The current standard first-line treatment for the aggressive form of NHL is the CHOP chemotherapy combination, comprising the drugs cyclophosphamide, doxorubicin hydrochloride, Oncovin(R) (vincristine vincristine /vin·cris·tine/ (vin-kris´ten) an antineoplastic vinca alkaloid; used as the sulfate salt in the treatment of various neoplasms, including Hodgkin's disease, acute lymphocytic leukemia, non-Hodgkin's lymphoma, Kaposi's ) and prednisone. In this open-label Phase 2 clinical trial the Oncovin(R) (vincristine) component is substituted with Onco TCS, which is vincristine encapsulated in Inex's proprietary sphingosomal drug delivery technology. Patients diagnosed with B-cell lymphoma also received Rituxan(R) (rituximab), a monoclonal antibody. In addition to the Phase 2, first-line study, investigators also presented a pharmacokinetics study of Onco TCS in Patients with Metastatic Melanoma. The data presented supported the extended release formulation and longer circulation half-life of Onco TCS compared to vincristine. Pegamotecan Results were presented from a Phase 2 study in which Pegamotecan was evaluated as a single-agent treatment for gastric and gastroesophageal junction cancers. Thirty-five patients with gastric and gastroesophageal junction cancers were treated: 28 patients were treatment naive and seven patients had received one prior chemotherapy regimen. The primary endpoint for the study was response rate with the criteria for moving forward being at least 5 responses. Key findings from the study were as follows: -- Nineteen (19) of the 35 patients (54%) experienced a response or stabilization of disease. Five patients (14%) achieved a partial response and 14 patients (40%) experienced stable disease. -- Pegamotecan showed promising activity based on time to response and duration of response. For those patients that achieved a partial response, the median time to response was 46 days, with a range of 40 days to 124 days, and the median duration of response was 127 days, with a range of 108 days to 208 days. -- Pegamotecan appeared to be well tolerated for a cytotoxic agent. Grade 4 toxicities occurred in 23% of patients, the most common being granulocytopenia, neutropenia and anorexia. The most common adverse events were nausea and vomiting Nausea and Vomiting Definition Nausea is the sensation of being about to vomit. Vomiting, or emesis, is the expelling of undigested food through the mouth. . Patients were not pre-treated in the study and future studies will attempt to control nausea and vomiting with prophylactic use of anti-emetics. -- Based on these data, the investigators concluded that Pegamotecan may be a promising treatment for patients with gastric and gastroesophageal cancers. SS1P The National Cancer Institute (NCI) presented results of a multi-center Phase 1 study of SS1P as a targeted therapy of mesothelin-expressing cancers. The primary objective of the study was to determine the toxicities and maximum tolerated dose of SS1P. Secondary objectives were to determine the pharmacokinetics and immunogenicity immunogenicity /im·mu·no·ge·nic·i·ty/ (-je-nis´it-e) the property enabling a substance to provoke an immune response, or the degree to which a substance possesses this property. and observe any anti-tumor activity. Twenty-three patients with mesothelin-expressing mesotheliomas, ovarian cancer, or pancreatic cancer were treated. All of the patients had failed a first-line therapy. SS1P was administered intraveneously over 30 minutes every other day for 6 or 3 doses. The maximum tolerated dose for the 6 dose schedule was determined. All dose-limiting toxicities were observed during the second week of treatment. Therefore, the study protocol was amended so that SS1P was administered every other day for a total of 3 doses in one week. Dose escalation is ongoing to determine the maximum tolerated dose for the 3 dose schedule. Key findings from the study were as follows: -- Of 22 evaluable patients, a response or stabilization of the disease was achieved in 14 patients or 64%. -- Clinical benefit was observed in several patients including complete resolution of abdominal and pelvic ascites Ascites Definition Ascites is an abnormal accumulation of fluid in the abdomen. Description Rapidly developing (acute) ascites can occur as a complication of trauma, perforated ulcer, appendicitis, or inflammation of the colon or other . -- Based upon these data, investigators concluded that SS1P shows evidence of anti-tumor activity. Enzon and the NCI are planning additional studies in patients with mesothelin-expressing cancers. About Onco TCS Onco TCS is a proprietary drug comprised of the widely used off-patent anticancer drug vincristine encapsulated in INEX's sphingosomal drug delivery technology. INEX's technology is designed to provide prolonged blood circulation, tumor accumulation and extended drug release at the cancer site. These characteristics are intended to increase the effectiveness and reduce the adverse effects of the encapsulated drug. In May 2004, Enzon and Inex announced that the U.S. 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. ) had accepted the New Drug Application (NDA (Non Disclosure Agreement) An agreement signed between two parties that have to disclose confidential information to each other in order to do business. In general, the NDA states why the information is being divulged and stipulates that it cannot be used for any ) for Onco TCS (vincristine sulfate liposomes injection). The FDA has established a target date of January 15, 2005 for completion of review of the Onco TCS NDA. The NDA is seeking marketing approval for Onco TCS as a single-agent treatment for patients with relapsed aggressive non-Hodgkin's lymphoma (NHL) previously treated with at least two combination chemotherapy regimens. In addition to the lead indication, relapsed aggressive NHL, Enzon and INEX intend to develop Onco TCS for use as a single-agent therapy or in combination therapy for several cancers in which vincristine is now used. In January 2004, Enzon and INEX announced a strategic partnership to develop and commercialize Onco TCS. Under the terms of the agreement, Enzon has the exclusive North American commercialization rights for Onco TCS for all indications, subject to certain co-promotion rights of INEX. INEX retains commercialization rights outside North America. About Pegamotecan Pegamotecan is a polyethylene glycol (PEG)-enhanced version of camptothecin, a small molecule that is a potent anti-cancer compound in the class of topoisomerase topoisomerase an enzyme involved in DNA replication that introduces a single-strand nick in the DNA enabling it to swivel and thereby relieve the accumulated winding strain generated during unwinding of the double helix. I inhibitors. Using its proprietary PEG technology, Enzon designed Pegamotecan to improve solubility, extend the circulating half-life, and enable preferential accumulation at tumor sites. Due to the increased molecular size of Pegamotecan compared to native camptothecin, it appears that Pegamotecan passively targets certain tumors due to their enhanced vascular permeability, thereby attaining enhanced permeation and retention within these tumors (EPR EPR Electron Paramagnetic Resonance EPR Extended Producer Responsibility EPR Electronic Patient Record(s) EPR Emergency Preparedness and Response (US DHS) EPR Endpoint Reference EPR Ethylene-Propylene Rubber effect). In January 2004, patient dosing was initiated in a pivotal clinical trial designed to evaluate Pegamotecan as single-agent therapy for the treatment of gastric and gastroesophageal junction cancers in patients who had received prior chemotherapy. Enzon is focusing its development program for Pegamotecan on second-line therapy for gastric and gastroesophageal junction cancers, as there are no single-agent drug approvals for this indication. The Company believes that Pegamotecan may be eligible for accelerated approval under Subpart H of the Food and Drug Act for the treatment of these cancers. About SS1P SS1P is a fusion protein consisting of a disulfide linked antibody fragment linked to domains II and III of Pseudomonas Pseudomonas A genus of gram-negative, nonsporeforming, rod-shaped bacteria. Motile species possess polar flagella. They are strictly aerobic, but some members do respire anaerobically in the presence of nitrate. exotoxin exotoxin /exo·tox·in/ (ek´so-tok?sin) a potent toxin formed and excreted by the bacterial cell, and free in the surrounding medium. A. The antibody fragment targets mesothelin, a cell surface antigen overexpressed in mesothelioma, ovarian and pancreatic cancers. Importantly, mesothelin is not expressed in normal pancreas, pancreatitis (inflammation of the pancreas), or benign pancreatic adenoma adenoma: see neoplasm. . In November 2003, Enzon announced a Collaborative Research and Development Agreement (CRADA CRADA Cooperative Research And Development Agreement ) with the National Institutes of Health (NIH "Not invented here." See digispeak. NIH - The United States National Institutes of Health. ). The development program will center on the recombinant immunotoxin SS1P. Enzon and the NCI plan to begin a Phase 2 clinical trial around the end of 2004. About Enzon Enzon Pharmaceuticals is a biopharmaceutical company dedicated to the discovery, development and commercialization of therapeutics to treat life-threatening diseases. The Company has developed or acquired a number of marketed products, including PEG-INTRON(R), marketed by Schering-Plough, and ABELCET(R), ONCASPAR(R), ADAGEN(R), and DEPOCYT(R), marketed in North America by Enzon's specialized sales force. Enzon's science-focused strategy includes an extensive drug development program that leverages the Company's macromolecular mac·ro·mol·e·cule n. A very large molecule, such as a polymer or protein, consisting of many smaller structural units linked together. Also called supermolecule. engineering technology platforms, including PEG modification and single-chain antibody (SCA (Single Connector Attachment) An 80-pin plug and socket used to connect peripherals. With a SCSI drive, it rolls three cables (power, data channel and ID configuration) into one connector for fast installation and removal. (R)) technologies. Internal research and development efforts are complemented by strategic transactions that provide access to additional products and technologies. Enzon has several drug candidates in various stages of development, independently and with partners, including Onco TCS, for which a U.S. marketing application is currently being reviewed by the FDA for the treatment of relapsed aggressive non-Hodgkin's lymphoma. Further information about Enzon and this press release can be found on the Company's web site at www.enzon.com. There are forward-looking statements contained herein that are not based on historical fact, including without limitation statements containing the words "believes," "may," "plans," "will," "estimates," "continue," "anticipates," "intends," "expects," and similar expressions. Such forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause actual results, events or developments to be materially different from the future results, events or developments discussed above. Such factors include the risk that Onco TCS may not receive regulatory approval from the FDA under Subpart H of the Food and Drug Act and the fact that any such approval, if granted, will include post approval commitments, the risks that Pegamotecan and SS1P will not successfully progress through their clinical studies, as well as those described in Enzon's Form 10-K and Forms 10-Q on file with the SEC, such as Enzon's ability to successfully launch and market Onco TCS, Enzon's ability to sustain profitability, and positive cash flow; risks in obtaining and maintaining regulatory approval for indications and expanded indications for Enzon's products; market acceptance of and continuing demand for Enzon's products; timing and results of clinical trials, including, without limitation, the ongoing clinical trials of Pegamotecan for the treatment of gastric and gastroesophageal cancers and SS1P for the treatment of mesotheliomas, ovarian cancer, or pancreatic cancer; the risk that the FDA may not deem Pegamotecan eligible for accelerated approval under Subpart H of the Food and Drug Act; and the impact of competitive products and pricing. These factors should be considered carefully and readers are cautioned not to place undue reliance on such forward-looking statements. All information in this press release is as of June 7, 2004 and the Company undertakes no duty to update this information. |
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