Allos Therapeutics, Inc. (MM) (NASDAQ:ALTH)
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Allos Therapeutics, Inc. (Nasdaq:ALTH) today reported interim response
and safety data from the Company's pivotal Phase 2 PROPEL trial of PDX
(pralatrexate) in patients with relapsed or refractory peripheral T-cell
lymphoma (PTCL). The Company will host a conference call at 9:00 a.m.
Eastern, today, May 15, 2008, to review the data.
Twenty-nine percent (n=19) of the first 65 evaluable patients enrolled
in the trial experienced either a complete or partial response, as
assessed by central independent oncology review. Forty-five percent
(n=29) of the first 65 evaluable patients experienced either a complete
or partial response, as assessed by the PROPEL investigators. Patients
are considered evaluable if they received at least one dose of PDX and
their diagnosis of PTCL has been confirmed by independent review. The
median duration of response for these patients cannot be estimated at
this time due to the current length of follow up. The most common drug
related grade 3/4 adverse events were mucositis and thrombocytopenia,
which were observed in 14% and 23% of patients, respectively. Patients
received a median of three prior treatment regimens.
“We are pleased to share these interim data as
we continue to evaluate the clinical utility of PDX in patients with
relapsed or refractory peripheral T-cell lymphoma,”
said Pablo J. Cagnoni, M.D., Chief Medical Officer of Allos. “We
believe PDX, a unique antifolate rationally designed for improved cancer
cell uptake and retention, has the potential to offer a new treatment
option for patients with this challenging disease. We look forward to
reporting top line results of the trial by the end of this year.”
“The PROPEL trial is the largest prospectively
designed single-agent trial conducted to date focused on patients with
relapsed or refractory peripheral T-cell lymphoma,”
said Owen O’Connor, M.D. Ph.D., Director
Lymphoid Development and Malignancy Program and Chief of the Lymphoma
Service at the Irving Comprehensive Cancer Center at Columbia University
Medical Center, and Principal Investigator of the PROPEL trial. “PDX’s
pre-clinical and clinical profile to date suggest that it has the
potential to provide therapeutic benefit to patients with this
challenging disease for which there are currently no approved treatments.”
The Company completed patient enrollment in the PROPEL trial in April
2008 and expects to report top line results of the trial by the end of
2008. Following its review of the trial results, the Company intends to
submit a New Drug Application for PDX as a treatment for patients with
relapsed or refractory PTCL as expeditiously as possible.
PROPEL (Pralatrexate in patients with Relapsed Or refractory PEripheral
T-cell Lymphoma) is a pivotal Phase 2, international, multi-center,
open-label, single-arm trial that enrolled more than 100 evaluable
patients with relapsed or refractory PTCL who progressed after at least
one prior treatment. Patients receive 30 mg/m2
of PDX once every week for six weeks followed by one week of rest per
cycle of treatment. The treatment regimen also includes vitamin B12
and folic acid supplementation. The primary endpoint of the trial is
objective response rate (complete and partial response), which will be
assessed by central independent oncology review. Duration of response is
the key secondary endpoint. All patients enrolled in the trial will
continue to be followed for long-term survival.
The PROPEL trial was initiated in August 2006. In accordance with the
PROPEL trial protocol, three pre-planned interim analyses of safety data
and one pre-planned interim analysis of response data were previously
conducted. In January, September and December 2007, the Company
announced that an independent data monitoring committee (DMC) completed
interim analyses of safety data from the first 10, 35 and 65 evaluable
patients who completed at least one cycle of treatment with PDX,
respectively, and recommended that the trial continue per the protocol
at each analysis. No major safety concerns were identified by the DMC.
In September 2007, the Company announced that the results of the interim
analysis of patient response data exceeded the pre-specified threshold
for continuation of the trial, which required a minimum of four
responses (complete or partial) out of the first 35 evaluable patients,
as determined by independent oncology review.
The PROPEL trial is being conducted under an agreement reached with the
United States Food and Drug Administration (FDA) under its Special
Protocol Assessment (SPA) process. The SPA process allows for FDA
evaluation of a clinical trial protocol intended to form the primary
basis of an efficacy claim in support of a new drug application (NDA),
and provides an agreement that the trial design, including trial size,
clinical endpoints and/or data analyses are acceptable to the FDA. The
response rate, duration of response and safety profile required to
support FDA approval are not specified in the PROPEL trial protocol and
will be subject to FDA review.
The FDA granted orphan drug designation and fast track designation to
PDX for the treatment of patients with T-cell lymphoma in July 2006 and
September 2006, respectively. In April 2007, the Commission of the
European Communities, with a favorable opinion of the Committee for
Orphan Medicinal Products of the European Medicines Agency, or EMEA,
granted orphan medicinal product designation to PDX for the treatment of
patients with PTCL.
Conference Call
The Company will host a conference call to review the PROPEL 65-patient
interim data on Thursday, May 15, 2008, at 9:00 a.m. ET. The dial in
number for U.S. residents to participate is 800-762-8973. International
callers should dial 480-629-9041. Participants should reference the
Allos Therapeutics conference call.
Webcast
The Company will hold a live webcast of the conference call. The webcast
will be available from the homepage and the investors/media section of
the Company's web site at www.allos.com
and will be archived for 30 days.
Conference Call Replay
An audio replay of the conference call will be available from
approximately two hours after completion of the call through Friday, May
30, 2008. To access the replay, please dial 800-406-7325 (domestic) or
303-590-3030 (international). The replay pass code is 3878869#.
About Peripheral T-cell Lymphoma
Peripheral T-cell lymphomas, or PTCLs, are a biologically diverse group
of blood cancers that account for approximately 10% to 15% of all cases
of non-Hodgkin's lymphoma (NHL) in the United States. According to the
American Cancer Society, approximately 63,000 patients are expected to
be diagnosed with NHL in the United States in 2008. The Company
estimates the current annual prevalence of PTCL at approximately 9,500
patients. There are currently no pharmaceutical agents approved for use
in the treatment of either first-line or relapsed or refractory PTCL.
PTCL patients are often treated with multi-agent chemotherapy regimens,
for which first-line treatment response rates range from 50%-70%. In
addition to the 30-50% of PTCL patients that do not respond to
first-line treatment, a significant number of first-line multi-agent
chemotherapy responders relapse or become refractory after treatment. A
study that included patients with aggressive PTCL found that the average
five-year survival for those patients was approximately 25%.
About PDX (pralatrexate)
PDX is a novel, small molecule chemotherapeutic agent that inhibits
dihydrofolate reductase, or DHFR, a folic acid (folate)-dependent enzyme
involved in the building of nucleic acid, or DNA, and other processes.
PDX was rationally designed for efficient transport into tumor cells via
the reduced folate carrier, or RFC-1, and effective intracellular drug
retention. The Company believes these biochemical features, together
with preclinical and clinical data in a variety of tumors, suggest that
PDX may have a favorable safety and efficacy profile relative to
methotrexate and other related DHFR inhibitors.
About Allos Therapeutics, Inc.
Allos Therapeutics is a biopharmaceutical company focused on developing
and commercializing innovative small molecule drugs for the treatment of
cancer. The Company's lead product candidate, PDX (pralatrexate), is a
novel antifolate currently under evaluation in a pivotal Phase 2
(PROPEL) trial in patients with relapsed or refractory peripheral T-cell
lymphoma. The PROPEL trial is being conducted under an agreement reached
with the U.S. Food and Drug Administration under its special protocol
assessment, or SPA process. The Company is also investigating PDX in
patients with non-small cell lung cancer and a range of lymphoma
sub-types. The Company's other product candidate is RH1, a targeted
chemotherapeutic agent currently under evaluation in a Phase 1 trial in
patients with advanced solid tumors or non-Hodgkin’s
Lymphoma (NHL). For additional information, please visit the Company’s
website at www.allos.com.
Safe Harbor Statement
This press release contains forward-looking statements that are made
pursuant to the safe harbor provisions of the Private Securities
Litigation Reform Act of 1995. Such forward-looking statements include
statements regarding the potential for PDX to offer a new treatment
option for patients with relapsed or refractory PTCL, the Company’s
projected timeline for reporting top line results from the PROPEL trial,
the Company’s intent to submit a New Drug
Application for PDX as a treatment for patients with relapsed or
refractor PTCL following its review of the trial results, the potential
safety and efficacy profile of PDX relative to methotrexate and other
related DHFR inhibitors; and other statements that are other than
statements of historical facts. In some cases, you can identify
forward-looking statements by terminology such as “may,”
“will,” “should,”
“expects,” “intends,”
“plans,” “anticipates,”
“believes,” “estimates,”
“predicts,” “projects,”
“potential,” “continue,”
and other similar terminology or the negative of these terms, but their
absence does not mean that a particular statement is not
forward-looking. Such forward-looking statements are not guarantees of
future performance and are subject to risks and uncertainties that may
cause actual results to differ materially from those anticipated by the
forward-looking statements. These risks and uncertainties include, among
others: that the Company may experience delays in the completion of the
PROPEL trial, whether caused by adverse events, regulatory issues or
other factors; that the PROPEL trial may not demonstrate that PDX is
both safe and effective for the treatment of patients with relapsed or
refractory PTCL; that the results of the PROPEL trial may not support an
application for marketing approval in the United States or any other
country; that an application for marketing approval may not be accepted
for priority review or at all by the FDA or any other regulatory
authority; and that the Company may lack the financial resources and
access to capital to fund future clinical trials for PDX or any of its
other product candidates. Additional information concerning these and
other factors that may cause actual results to differ materially from
those anticipated in the forward-looking statements is contained in the
"Risk Factors" section of the Company's Annual Report on Form 10-K for
the year ended December 31, 2007 and in the Company's other periodic
reports and filings with the Securities and Exchange Commission. The
Company cautions investors not to place undue reliance on the
forward-looking statements contained in this press release. All
forward-looking statements are based on information currently available
to the Company on the date hereof, and the Company undertakes no
obligation to revise or update these forward-looking statements to
reflect events or circumstances after the date of this presentation,
except as required by law.
Note: The Allos logo is a trademark of Allos Therapeutics, Inc.