ViroPharma Announces Initiation of Phase 2 Study of Cinryze(TM) (C1 Estersase Inhibitor [Human]) in Pediatric Patients
EXTON, Pa., March 31 /PRNewswire-FirstCall/ -- ViroPharma Incorporated (Nasdaq: VPHM) today announced that it has initiated an open-label, single-dose Phase 2 study to evaluate doses of Cinryze™ (C1 esterase inhibitor [human)] for treatment of acute angioedema attacks in children less than 12 years of age with hereditary angioedema (HAE). Cinryze was approved by the U.S. Food and Drug Administration in October 2008 for routine prophylaxis against angioedema attacks in adolescent and adult patients with HAE. Cinryze is not approved in the US for acute treatment of attacks or in pediatric patients below the age of 12 years.
The study design was agreed upon with the Pediatric Committee of the European Medicines Agency (EMA) as a component of the Pediatric Investigational Plan (PIP) that was approved prior to the Company's recent submission of a Marketing Authorization Application (MAA) for Cinryze. The objectives of the study are to evaluate the dose response and the PK/PD of IV administration of Cinryze for the treatment of acute angioedema attacks in children less than 12 years of age with HAE; and to determine the safety and tolerability following IV administration of Cinryze in this study population.
"Hereditary angioedema is an autosomal dominant disease, meaning that each child of a parent with HAE has a 50/50 chance of also being afflicted with the disease; so understanding pediatric dosing requirements is essential for such genetic diseases," commented Colin Broom, M.D., ViroPharma's chief scientific officer. "The Cinryze clinical development program includes a pediatric dataset that is among the largest for any HAE therapy. However, we want to further assess various pediatric dosing regimens, particularly for young children. This study will evaluate the efficacy and safety of a range of doses in children and measure plasma concentrations of C1 esterase inhibitor following administration of Cinryze as treatment of acute HAE attacks."
Clinical Study Design
This multi-center, open-label study will be conducted in 12 pediatric patients. Eligible subjects (2 years to <12 years of age) will receive treatment for a single acute HAE attack. Cinryze will be administered as a single IV infusion of 500 U, or 1000 U (for subjects 10-25 kg) and 1000 or 1500 U (for subjects >25 kg). Patients will be evaluated for HAE symptom relief and will have blood samples collected for complement levels including antigenic and functional C1 INH and C4. The primary efficacy assessment will be made based on clinical response observed within 4 hours after dosing.
About Cinryze™ (C1 esterase inhibitor [human])
Cinryze is a highly purified, pasteurized and nanofiltered plasma-derived C1 esterase inhibitor product that has been approved by FDA for routine prophylaxis against angioedema attacks in adolescent and adult patients with HAE. C1 inhibitor therapy has been used acutely for more than 35 years in Europe to treat patients with C1 inhibitor deficiency. Cinryze is not currently approved in the European Union or any of its member states.
The most common adverse reactions observed have been upper respiratory infection, sinusitis, rash and headache. No drug-related serious adverse events (SAEs) have been observed in clinical trials. Severe hypersensitivity reactions may occur. Thrombotic events have occurred in patients receiving high dose off-label C1 inhibitor therapy well above the approved treatment dosage regimen. With any blood or plasma derived product, there may be a risk of transmission of infectious agents, e.g. viruses and, theoretically, the CJD agent. The risk has been reduced by screening patients for prior exposure to certain virus infections and by manufacturing steps to reduce the risk of viral transmission including pasteurization and nanofiltration.
Cinryze is for intravenous use only. A dose of 1000 Units of Cinryze can be administered every 3 or 4 days for routine prophylaxis against angioedema attacks in HAE patients. Cinryze is administered at an injection rate of 1 mL per minute.
About Hereditary Angioedema (HAE)
HAE is a rare, severely debilitating, life-threatening genetic disorder caused by a deficiency of C1 inhibitor, a human plasma protein. This condition is the result of a defect in the gene controlling the synthesis of C1 inhibitor. C1 inhibitor maintains the natural regulation of the contact, complement, and fibrinolytic systems, that when left unregulated, can initiate or perpetuate an attack by consuming the already low levels of endogenous C1 inhibitor in HAE patients. Patients with C1 inhibitor deficiency experience recurrent, unpredictable, debilitating, and potentially life threatening attacks of inflammation affecting the larynx, abdomen, face, extremities and urogenital tract. Patients with HAE experience approximately 20 to 100 days of incapacitation per year. There are estimated to be at least 6,000 people with HAE in the United States.
For more information on HAE, visit the U.S. HAE Association's website at: http://www.haea.org/.
About ViroPharma Incorporated
ViroPharma Incorporated is an international biopharmaceutical company committed to developing and commercializing innovative products for physician specialists to enable the support of patients with serious diseases for which there is an unmet medical need, and providing rewarding careers to employees. ViroPharma commercializes Cinryze™ (C1 esterase inhibitor [human]) for routine prophylaxis against angioedema attacks in adolescent and adult patients with hereditary angioedema (HAE). ViroPharma commercializes Vancocin(R), approved for oral administration for treatment of antibiotic-associated pseudomembranous colitis caused by Clostridium difficile and enterocolitis caused by Staphylococcus aureus, including methicillin-resistant strains (for prescribing information on ViroPharma's commercial products, please download the package inserts at http://www.viropharma.com/Products.aspx). ViroPharma currently focuses its drug development activities in diseases including C1 esterase inhibitor deficiency and C. difficile.
ViroPharma routinely posts information, including press releases, which may be important to investors in the investor relations and media sections of our company's web site, http://www.viropharma.com/. The company encourages investors to consult these sections for more information on ViroPharma and our business.
Forward Looking Statements
Certain statements in this press release contain forward-looking statements that involve a number of risks and uncertainties. Forward-looking statements provide our current expectations or forecasts of future events, including our clinical development activities with Cinryze in pediatric patients and regulatory filings in Europe related to Cinryze. There can be no assurance that that our phase 2 clinical program with Cinryze in pediatric patients will enroll patients at the rate we anticipate or yield positive results. The EMA may view the data regarding the use of Cinryze in pediatric patients as insufficient or inconclusive, request additional data, require additional clinical studies, delay any decision past the time frames anticipated by us, limit any approved indications, deny the approval of Cinryze for acute treatment and / or prevention of HAE or approve a competing product which has been granted orphan drug designation thereby preventing Cinryze from reaching the European market. These factors, and other factors, including, but not limited to those described in our annual report on Form 10-K for the year ended December 31, 2009 filed with the Securities and Exchange Commission, could cause future results to differ materially from the expectations expressed in this press release. The forward-looking statements contained in this press release are made as of the date hereof and may become outdated over time. ViroPharma does not assume any responsibility for updating any forward-looking statements. These forward looking statements should not be relied upon as representing our assessments as of any date subsequent to the date of this press release.
SOURCE ViroPharma Incorporated
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