Exelixis, Inc. (Nasdaq:
EXEL), reported phase 1 data from an ongoing phase 1 trial of XL019
in patients with myelofibrosis, a myeloproliferative disorder (MPD). XL019
is an investigational small molecule that selectively inhibits the tyrosine
kinase JAK2, one of four JAK family members activated in response to
cytokines and hematopoietic growth factors. JAK2 is inappropriately
activated in the majority of MPD patients and is deregulated in a number of
solid tumors, including certain subtypes of lymphoma. Dr. Srdan Verstovsek
from the M. D. Anderson Cancer Center, Houston, TX presented data
from an ongoing phase 1 study in an oral presentation session (Abstract
#553) at the American Society of Hematology 49th Annual Meeting and
Exposition, which is taking place in Atlanta, December 8th-11th.
"We are very encouraged by the results from this ongoing trial that
show rapid decrease in spleen size and relief of disease-related symptoms
at low doses of XL019. XL019 is a highly selective inhibitor of JAK2 that
may have the potential to provide important benefit for patients with
myeloproliferative disorders and other diseases driven by JAK2," said
Michael Morrissey, Ph.D., president of research and development at
Exelixis. "We believe that JAK2 is a critical target in myeloproliferative
disorders, and effective inhibition of JAK2 may directly translate into
clinical benefit. The strong linkage of JAK2 to MPDs provides a potentially
quick route to market, with potential for additional opportunities in
larger commercial indications. We are planning to initiate pivotal trials
of XL019 in myelofibrosis patients in 2008."
Trial Design
The phase 1 dose escalation study of XL019 is ongoing in subjects with
primary myelofibrosis (MF) and post-polycythemia vera/essential
thrombocythemia MF. To date nine patients have been enrolled. The primary
objective of this study is to determine the safety and tolerability of
XL019 when administered orally once daily for 21 days in 28-day cycles.
Secondary objectives include evaluation of the pharmacokinetics and
pharmacodynamics of XL019, and to evaluate response using the International
Working Group for MF consensus response criteria.
Results To-Date
Data (unaudited) from cohort 1 (100mg), cohort 2 (200mg) and cohort 3
(300mg) were presented today and the key findings by investigators include:
-- Preliminary clinical activity observed in most subjects, including:
- Reduction in spleen size of 33 to 100% in five of six patients
evaluated
- Reduction in erythropoietin-independent colony formation of up to
39% and up to 100% in two patients evaluated
-- Relief of constitutional symptoms, including pruritus, fatigue, back
pain and abdominal fullness
-- Reduction in the number of cells with the JAK2 V617F mutation (allele
burden)
-- Correlation between XL019 exposure and decreases in phosphorylation of
STAT, a marker for JAK activity.
-- XL019 was generally well tolerated.
- Adverse events included Grade 1 nausea, headaches, equilibrium
imbalance, dizziness, chest discomfort, visual disturbances, fatigue
and hypertension.
- Grade 2 AEs of lightheadedness and decreased sensation in soles and
one serious adverse event of confusion in a patient with baseline
history of dementia were also observed.
-- No evidence of myelosuppression
The maximum tolerated dose has not been reached. The phase 1 dose
escalating clinical trial continues.
About JAK2 and XL019
JAK kinases are activated by cytokines and growth factor receptors and
phosphorylate members of the STAT family of inducible transcription
factors. JAK2 plays a pivotal role in the cellular response to growth
factors that drive blood cell expansion, including erythropoietin and
thrombopoietin. Mutational activation of JAK2 is observed in the majority
of patients with polycythemia vera, essential thrombocythemia and
myelofibrosis, and is thought to drive the inappropriate expansion of blood
cells observed in these conditions. Other members of the JAK family play
critical roles in regulating immune responses, including the anti-viral and
anti-parasitic responses.
XL019 is a potent JAK2 inhibitor (IC50 = 2 nM) with excellent
selectivity versus the other members of the JAK kinase family (JAK1 IC50 =
130 nM, JAK3 IC50 = 250 nM, TYK2 IC50 = 340 nM). It is active against both
wild type and mutationally activated forms of JAK2, and in preclinical
studies showed good oral bioavailability and pharmacodynamic properties.
Preclinical safety studies showed that XL019 was well tolerated.
About Exelixis
Exelixis, Inc. is a development-stage biotechnology company dedicated
to the discovery and development of novel small molecule therapeutics for
the treatment of cancer and other serious diseases. The company is
leveraging its fully integrated drug discovery platform to fuel the growth
of its development pipeline, which is primarily focused on cancer.
Currently, Exelixis' broad product pipeline includes investigational
compounds in phase 2 and phase 1 clinical development for cancer and renal
disease. Exelixis has established strategic corporate alliances with major
pharmaceutical and biotechnology companies, including GlaxoSmithKline,
Bristol-Myers Squibb Company, Genentech, Wyeth Pharmaceuticals and
Daiichi-Sankyo. For more information, please visit the company's web site
at exelixis.
Forward Looking Statements
This press release contains forward-looking statements, including,
without limitation, statements related to the future development and
potential efficacy of XL019 and the timing of the initiation of pivotal
trials for XL019. Words such as "may," "believe," "provide," "potential,"
"planning" and similar expressions are intended to identify forward-looking
statements. These forward-looking statements are based upon our current
plans, assumptions, beliefs and expectations. Forward-looking statements
involve risks and uncertainties. Our actual results and the timing of
events could differ materially from those anticipated in such
forward-looking statements as a result of these risks and uncertainties,
which include, without limitation, the potential failure of our product
candidates to demonstrate safety and efficacy in clinical testing; the
ability to initiate and complete trials at the referenced times; the
ability to conduct clinical trials sufficient to achieve a positive
completion; the uncertainty of the FDA approval process; the therapeutic
and commercial value of our compounds and risks related to our need for
additional financing. These and other risk factors are discussed under
"Risk Factors" and elsewhere in our quarterly report on Form 10-Q for the
quarter ended September 30, 2007 and our other filings with the Securities
and Exchange Commission. We expressly disclaim any duty, obligation or
undertaking to release publicly any updates or revisions to any forward-
looking statements contained herein to reflect any change in our
expectations with regard thereto or any change in events, conditions or
circumstances on which any such statements are based.
Exelixis, Inc.
exelixis