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NEUPREX Meningococcemia Biologics License Application Submission to Be Delayed.


Business Editors/Health & Medical Writers

BERKELEY, Calif.--(BW HealthWire)--April 25, 2000

In a recent meeting with members of 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.
), representatives from XOMA Ltd. (Nasdaq:XOMA) and Baxter Healthcare Corporation (NYSE NYSE

See: New York Stock Exchange
:BAX) discussed results from the Phase III trial that tested NEUPREX(R) (rBPI-21) in pediatric patients with severe meningococcemia. Senior representatives of the FDA indicated that the data presented were not sufficient to support the filing of a biologics license application (BLA BLA
abbr.
Bachelor of Liberal Arts
) at this time. XOMA and Baxter are therefore examining ways to supply the additional data necessary to proceed with the filing.

"Because of the clear unmet medical need and the importance of advancing new therapies in this disease, we are exploring several approaches to provide the necessary data to the FDA," said Norbert Riedel, Ph.D., President of Hyland Immuno's Recombinant business. "Although conducting clinical trials in this rare disease is difficult, we will continue to work closely with the agency to identify a practical path to achieve approval. We believe this product has considerable potential in multiple diseases and are evaluating several additional indications."

In the double-blinded, placebo-controlled 395-patient Phase III study patients who received NEUPREX(R) showed reductions in mortality and limb loss, the most serious consequences of this disease. In addition, more patients in the NEUPREX(R) group returned to their pre-illness POPC POPC Palmitoyl oleoyl phosphatidyl choline
PopC Pop Ceilidh Nation (UK)
POPC Partitioned Operations Controller (Nortel) 
 score, which is a commonly used comprehensive measure of functional and neurological status in pediatric pediatric /pe·di·at·ric/ (pe?de-at´rik) pertaining to the health of children.

pe·di·at·ric
adj.
Of or relating to pediatrics.
 intensive care. There were no safety issues in the study. Detailed trial data will be disclosed in an article to be published in an appropriate peer-reviewed scientific journal.

"We feel we have generated compelling data in an extremely challenging clinical setting," said Jack Castello, Chairman, 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.  of XOMA. "We will continue to work with Baxter and the FDA to find a way to provide additional data as needed as needed prn. See prn order.  to further confirm our trial results. We are also working with Baxter to choose additional NEUPREX(R) indications to advance into the clinic."

Meningococcemia

Outbreaks of meningococcal disease have become more frequent in recent years, especially among small children and young adults. Caused by the same species of bacteria responsible for meningococcal meningitis meningococcal meningitis
n.
An acute infectious disease affecting children and young adults characterized by inflammation of the meninges of the brain and spinal cord, headache, vomiting, convulsions, stiff neck, light sensitivity, and purpuric
, meningococcemia is characterized by a rapid onset of life-threatening symptoms and consequent high mortality. In survivors, common morbidities include gangrene gangrene, local death of body tissue. Dry gangrene, the most common form, follows a disturbance of the blood supply to the tissues, e.g., in diabetes, arteriosclerosis, thrombosis, or destruction of tissue by injury.  followed by amputations and/or central nervous system damage. Although first-line antibiotics generally control the meningococcal bacteria, there is no current treatment for the toxic inflammatory cascade triggered by the bacterial endotoxins that can lead to abnormal blood clotting blood clotting, process by which the blood coagulates to form solid masses, or clots. In minor injuries, small oval bodies called platelets, or thrombocytes, tend to collect and form plugs in blood vessel openings. , organ failure, shock and death.

BPI platform

In January, Baxter and XOMA announced an agreement in which Baxter's Hyland Immuno division acquired the worldwide rights to the NEUPREX(R) product for meningococcemia and all future anti-bacterial and anti-endotoxin indications.

XOMA has an ongoing agreement with Allergan Inc. to develop ophthalmic anti-infective products using rBPI in combination with antibiotics. The first milestone was achieved in December 1999, confirming that an antibiotic/rBPI-21 combination is active against various bacterial strains that cause eye infections, including antibiotic-resistant strains.

The Company continues to hold discussions with potential partners for the Mycoprex(TM) antifungal program and is advancing development of BPI-derived anti-angiogenic compounds that may be useful in treating retinal diseases, tumors and inflammatory diseases.

Antibody platform

Genentech and XOMA started Phase III clinical testing of the anti-CD11a antibody product in moderate-to-severe psoriasis patients in December 1999. A second Phase III psoriasis trial and a Phase I/II study in kidney transplant patients commenced in the first quarter of 2000.

Preclinical development continues on XOMA's ING-1 antibody oncology product. ING-1 binds to an antigen found on epithelial cell cancers, such as breast, prostate, colorectal and others, and recruits cells from the patient's own immune system immune system

Cells, cell products, organs, and structures of the body involved in the detection and destruction of foreign invaders, such as bacteria, viruses, and cancer cells. Immunity is based on the system's ability to launch a defense against such invaders.
 to kill the tumor cells.

Discussions are in progress with potential partners for XOMA's Genimune(TM) product and its related targeted gelonin fusion technology. Genimune(TM) is a protein fusion that combines an antibody-based targeting component with gelonin, a proprietary cytotoxin cytotoxin /cy·to·tox·in/ (si´to-tok?sin) a toxin or antibody having a specific toxic action upon cells of special organs.

cy·to·tox·in
n.
. Medical targets are T and B-cell mediated autoimmune diseases Autoimmune diseases
A group of diseases, like rheumatoid arthritis and systemic lupus erythematosus, in which immune cells turn on the body, attacking various tissues and organs.

Mentioned in: Complement Deficiencies, Premature Menopause
 and immune system cancers.

About XOMA

XOMA develops and manufactures biopharmaceuticals in Berkeley and Santa Monica, Calif. Medical targets include infectious diseases, immunologic and inflammatory disorders, and cancer. The company's infectious disease product development platform is BPI (bactericidal/permeability-increasing protein), a human protein with multiple anti-infective properties. Drs. Peter Elsbach and Jerrold Weiss discovered BPI at New York University New York University, mainly in New York City; coeducational; chartered 1831, opened 1832 as the Univ. of the City of New York, renamed 1896. It comprises 13 schools and colleges, maintaining 4 main centers (including the Medical Center) in the city, as well as the  School of Medicine (NYU NYU New York University
NYU New York Undercover (TV show) 
). NYU collaborates with XOMA to extend and apply BPI-related research to pharmaceutical development. In addition to its antibody product development programs, the company owns a patented Human Engineering method for reducing antibody 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. . XOMA has also granted more than 20 licenses to its proprietary cell expression system for manufacturing recombinant proteins (including antibodies) to U.S. and European biotechnology and pharmaceutical companies. [pilcrow (paragraph sign)] For more information, visit XOMA's web site at www.xoma.com

The statements made in this news release related to regulatory approval, collaborative and licensing relationships, clinical testing and other aspects of product development, 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, including those related to the timing or results of pending or future clinical trials, changes in the status of collaborative relationships, and actions by the U.S. Food and Drug Administration or the U.S. Patent and Trademark Office, are discussed in XOMA's most recent annual reports on Form 10-K and in other SEC filings. Consider such risks carefully in evaluating XOMA's prospects.
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Date:Apr 25, 2000
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