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FDA Advisory Committee Unanimously Recommends Approval for Raptiva as a Potential Treatment for Moderate-to-Severe Plaque Psoriasis.


Business Editors/Health/Medical Writers

SOUTH SAN FRANCISCO South San Francisco, city (1990 pop. 54,312), San Mateo co., W Calif.; inc. 1908. South San Francisco has several industrial parks; its manufactures include medical supplies and equipment, foods, paint, paper products, consumer goods, and clothing. , Calif. & BERKELEY, Calif.--(BUSINESS WIRE)--Sept. 9, 2003--Genentech, Inc. (NYSE NYSE

See: New York Stock Exchange
:DNA DNA: see nucleic acid.
DNA
 or deoxyribonucleic acid

One of two types of nucleic acid (the other is RNA); a complex organic compound found in all living cells and many viruses. It is the chemical substance of genes.
) and XOMA Ltd. (Nasdaq:XOMA) today announced that the U.S. Food and Drug Administration's (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.
) Dermatologic and Ophthalmic Drug Advisory Committee (DODAC DODAC Department Of Defense Ammunition Code
DODAC Department of Defense Address Code
) voted unanimously (11-0) to recommend that Raptiva(TM) (Efalizumab) be approved for the treatment of moderate-to-severe plaque psoriasis in adults age 18 or older.

Although the FDA is not bound by the recommendations of its advisory committees, it generally follows their advice. Genentech and XOMA will continue discussions with the FDA regarding product labeling and post-marketing commitments.

"Today's advisory committee recommendation is an important step toward providing a new therapeutic option for people with psoriasis," said Hal Barron, M.D., F.A.C.C., Genentech's vice president, Medical Affairs. "People with psoriasis are faced with a lifetime of disease management. If approved, Raptiva may offer patients a new approach to control of this chronic disease."

Raptiva is a T-cell modulator Modulator

Any device or circuit by means of which a desired signal is impressed upon a higher-frequency periodic wave known as a carrier. The process is called modulation. The modulator may vary the amplitude, frequency, or phase of the carrier.
 designed to selectively and reversibly block the activation of T-cells that cause psoriasis. In clinical trials, Raptiva demonstrated rapid onset of action onset of action Pharmacology The length of time needed for a medicine to become effective. See Therapeutic drug monitoring.  in the reduction of symptoms associated with psoriasis, including a reduction in the thickness, scaling and redness of skin lesions Skin Lesions Definition

A skin lesion is a superficial growth or patch of the skin that does not resemble the area surrounding it.
Description

Skin lesions can be grouped into two categories: primary and secondary.
, or plaques. The therapy was administered once weekly via subcutaneous injection, and in several of the trials, was self-administered by patients at home.

Jack Castello, XOMA's president and chief executive officer added, "We are pleased with the FDA advisory committee's unanimous recommendation and if Raptiva is approved, we look forward to offering an effective biologic treatment option to patients who desire to manage their disease and remove the limitations psoriasis currently imposes on their lives."

Raptiva is being developed by Genentech and XOMA in the United States. The Biologics License Application (BLA BLA
abbr.
Bachelor of Liberal Arts
) for Raptiva was filed in December 2002, with a supplemental data amendment filing in May 2003. An FDA response on the Raptiva BLA is expected by October 27, 2003.

Genentech and XOMA are collaborating on the development and commercialization of Raptiva in the United States. Serono S.A., Genentech's marketing partner outside the United States and Japan, announced in February 2003 that it had submitted a Marketing Authorization Application (MAA MAA
abbr.
macroaggregated albumin
) to the European Agency for the Evaluation of Medicinal Products (EMEA (Europe, Middle East, Africa) Refers to that region of the world. For example, one might see products packaged differently for the UK, EMEA and Asia Pacific markets. ) for European Union Approval of Raptiva in psoriasis. Serono has also submitted Raptiva data for marketing approval in Canada, Switzerland, Australia and New Zealand and is filing in additional countries.

Raptiva Phase III Clinical Trials Results

The FDA advisory committee's recommendation was based on data from four randomized ran·dom·ize  
tr.v. ran·dom·ized, ran·dom·iz·ing, ran·dom·iz·es
To make random in arrangement, especially in order to control the variables in an experiment.
, placebo-controlled Phase III studies. The FDA submission (BLA) included data on more than 2,700 patients treated with Raptiva, representing the largest existing database of patients treated with a biologic therapy for psoriasis. The Phase III trials were designed to evaluate the safety and efficacy of Raptiva as a potential treatment for moderate-to-severe plaque psoriasis. The studies had a primary efficacy endpoint of 75 on the Psoriasis Area and Severity Index (PASI PASI Psoriasis Area and Severity Index
PASI Public Authority for Social Insurance
PASI Pan American Studies Institute
PASI Professional Account Services Inc.
PASI Production, Availability, Shipments, Inventory
PASI Pioneer Air Systems, Inc.
), measuring the proportion of patients achieving a 75 percent or greater PASI score improvement. The PASI score is a rating system that incorporates thickness of psoriatic plaque, degree of scaling, level of redness, and percentage of body surface affected. Secondary endpoints for the Phase III studies included physician assessment, patient-reported outcomes and quality-of-life improvements.

Data presented at today's DODAC advisory committee hearing included efficacy data for 12 and 24 weeks of treatment.

-- At week 12 of the pivotal, randomized, double blind,

placebo-controlled Phase III study, 27 percent (98/369) of the

patients receiving Raptiva achieved PASI 75 and 59 percent

(216/369) of patients achieved a 50 percent or greater PASI

improvement (PASI 50).

-- At 24 weeks of the open-label, extended treatment period

following the first 12 weeks of treatment, 44 percent

(161/369) of patients who had received at least one dose of

Raptiva during the first 12 weeks achieved PASI 75 and 66

percent (245/369) of patients achieved PASI 50.

Raptiva was well tolerated in Phase III studies. Adverse events that occurred in at least five percent of patients treated with Raptiva and one percent more frequently than in the placebo group included headache, chills, pain, flu syndrome, fever, asthenia asthenia /as·the·nia/ (as-the´ne-ah) lack or loss of strength and energy; weakness.

neurocirculatory asthenia
, nausea, myalgia myalgia /my·al·gia/ (mi-al´jah) muscular pain.myal´gic

epidemic myalgia  see under pleurodynia.


my·al·gia
n.
 (muscle pain), and pharyngitis pharyngitis

Inflammation and infection (usually bacterial or viral) of the pharynx. Symptoms include pain (sore throat, worse on swallowing), redness, swollen lymph nodes, and fever.
. Five of these events (headache, chills, fever, nausea and myalgia) were predominantly acute adverse events, principally seen following the first two injections of Raptiva. For the third and subsequent doses, the incidence of acute adverse events was similar between the Raptiva and placebo groups. Less than three percent of patients were discontinued from treatment due to adverse events. Infrequent serious adverse events included psoriatic reccurances (most of which occured after treatment was stopped), thrombocytopenia Thrombocytopenia Definition

Thrombocytopenia is an abnormal drop in the number of blood cells involved in forming blood clots. These cells are called platelets.
 and infection.

If approved, the final efficacy and safety description included in Raptiva's product labeling will be determined by the FDA.

About Psoriasis

Psoriasis occurs when new skin cell growth rapidly accelerates, resulting in thick, red, scaly scal·y
adj.
1. Covered or partially covered with scales.

2. Shedding scales or flakes; flaking.



scaly

skin condition characterized by scales; scalelike.
, inflamed patches on the skin surface. Psoriasis affects approximately 4.5 million Americans. Plaque psoriasis, the most common form of the disease, is characterized by inflamed patches of skin ("lesions") topped with silvery white scales. Psoriasis can be limited to a few spots or involve extensive areas of the body, appearing most commonly on the scalp, knees, elbows and trunk. Although it is highly visible, psoriasis is not a contagious disease. While there are a number of medications that may help control the symptoms of psoriasis, there is currently no cure.

About Genentech

Genentech is a leading biotechnology company that discovers, develops, manufactures and commercializes biotherapeutics for significant unmet medical needs. Sixteen of the currently approved biotechnology products originated from or are based on Genentech science. Genentech manufactures and commercializes 11 biotechnology products in the United States. The company has headquarters in South San Francisco, California South San Francisco is a city in San Mateo County, California, United States, located on the San Francisco Peninsula in the San Francisco Bay Area. The population was 60,552 at the 2000 census.  and is traded on the New York Stock Exchange New York Stock Exchange (NYSE)

World's largest marketplace for securities. The exchange began as an informal meeting of 24 men in 1792 on what is now Wall Street in New York City.
 under the symbol DNA. For additional information about the company, please visit http://www.gene.com.

Immediately following the advisory committee meeting, Genentech will host a webcast to discuss the results of the meeting. The webcast began at 3:00 p.m. Pacific Time/6:00 p.m. Eastern Time on September 9, 2003. The live webcast can be accessed by going to Genentech's website at http://www.gene.com and will be archived and available for replay until 5:00 p.m. Pacific Time on September 16, 2003.

An audio replay of the webcast will be available beginning at 5:00 p.m. Pacific Time/8:00 p.m. Eastern Time on September 9, 2003 and ending at 5:00 p.m. Pacific Time/8:00 p.m. Eastern Time on September 16, 2003. Access numbers for this replay are: 1-800-642-1687 (U.S./Canada) and 1-706-645-9291 (international); passcode number is 2287750.

About XOMA

XOMA develops and manufactures antibody and other protein-based biopharmaceuticals for disease targets that include immunological and inflammatory disorders, cancer and infectious diseases. XOMA's programs include collaborations: with Genentech, Inc. on the Raptiva(TM) antibody for psoriasis (BLA submission), psoriatic arthritis (Phase II) and other indications; and with Millennium Pharmaceuticals, Inc. on two biotherapeutic agents, CAB-2 and MLN MLN Million
MLN Modern Language Notes (literary journal)
MLN Management & Leadership Network (Northern Ireland)
MLN Missouri League for Nursing
MLN Main Listed Number
2201, for vascular inflammation indications (preclinical and phase I, respectively). Earlier-stage development programs focus on antibodies and other compounds developed by XOMA for the treatment of cancer, retinopathies Retinopathies Definition

Retinopathy is a noninflammatory disease of the retina. There are many causes and types of retinopathy.
Description
 and acne. For more information about XOMA's pipeline and activities, please visit XOMA's website at http://www.xoma.com/.

Regarding XOMA:

Statements made in this news release related to the BLA review and other aspects of the regulatory process, as well as the collaborative arrangements regarding Raptiva(TM), or that otherwise relate to future periods, are forward looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These statements are based on assumptions that may not prove accurate. Actual results could differ materially from those anticipated due to certain risks inherent in the biotechnology industry and for companies engaged in the development of new products in a regulated market. These risks include those related to safety and efficacy of the product being studied (including the product's ability to remain safe and efficacious in the long term); action, inaction or delay by the Food and Drug Administration, European regulators and/or their advisory bodies; analysis and interpretation by these entities and others of scientific data; failure of the FDA to follow the recommendation of the DODAC; changes in the status of existing collaborative relationships; the ability of collaborators to meet their obligations; and market demand for products. These risks are discussed in XOMA's most recent annual report on Form 10-K and in other SEC filings. Consider such risks carefully in evaluating XOMA's prospects.
COPYRIGHT 2003 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2003, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:1USA
Date:Sep 9, 2003
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